Healthcare Provider Details

I. General information

NPI: 1881045441
Provider Name (Legal Business Name): KARI VU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17100 EUCLID ST
FOUNTAIN VALLEY CA
92708-4004
US

IV. Provider business mailing address

PO BOX 20153
FOUNTAIN VALLEY CA
92728-0153
US

V. Phone/Fax

Practice location:
  • Phone: 760-835-4140
  • Fax: 662-214-6202
Mailing address:
  • Phone: 760-835-4140
  • Fax: 662-214-6202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA165273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: