Healthcare Provider Details

I. General information

NPI: 1497192645
Provider Name (Legal Business Name): PETER VU MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9191 WESTMINSTER AVE STE. 106
GARDEN GROVE CA
92844-2751
US

IV. Provider business mailing address

9191 WESTMINSTER AVE STE. 106
GARDEN GROVE CA
92844-2751
US

V. Phone/Fax

Practice location:
  • Phone: 714-379-8045
  • Fax: 714-583-6334
Mailing address:
  • Phone: 714-379-8045
  • Fax: 714-583-6334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER HUNG-NGO VU
Title or Position: PRESIDENT
Credential: MD
Phone: 714-381-8913