Healthcare Provider Details

I. General information

NPI: 1609041789
Provider Name (Legal Business Name): PHUC H VO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: PHUC H NGUYEN D.O.

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOAG DR
NEWPORT BEACH CA
92663-4162
US

IV. Provider business mailing address

1 HOAG DR
NEWPORT BEACH CA
92663-4162
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-8585
  • Fax:
Mailing address:
  • Phone: 303-356-1738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberN8131
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number21831
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: