MEDICARE: VU H. TINH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00041393	WA
2	207Q00000X	Family Medicine Physician	C 52030	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831196112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VU H. TINH MD

Provider Business Mailing Address
First Line	:	30763 GRAND VIEW CIR
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92591-7294
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	36450 INLAND VALLEY DR
Second Line	:
City	:	WILDOMAR
State	:	CA
Zip	:	92595-9583
Country	:	US
Telephone Number	:	866-984-7483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	12/03/2021

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