Healthcare Provider Details

I. General information

NPI: 1104747039
Provider Name (Legal Business Name): ANNA KHANH-AN VO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17105 NEWHOPE ST SUITE 201
FOUNTAIN VALLEY CA
92708
US

IV. Provider business mailing address

17105 NEWHOPE ST SUITE 201
FOUNTAIN VALLEY CA
92708
US

V. Phone/Fax

Practice location:
  • Phone: 657-325-8181
  • Fax:
Mailing address:
  • Phone: 657-325-8181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: