Healthcare Provider Details

I. General information

NPI: 1447921960
Provider Name (Legal Business Name): KARI VU MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
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: 714-696-9243
  • Fax:
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 Number
License Number State

VIII. Authorized Official

Name: KARI VU
Title or Position: OWNER
Credential: MD
Phone: 760-835-4140