Healthcare Provider Details

I. General information

NPI: 1538508841
Provider Name (Legal Business Name): CHAU MY VU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S FAIR OAKS AVE STE 230
PASADENA CA
91105-2663
US

IV. Provider business mailing address

625 S FAIR OAKS AVE STE 230
PASADENA CA
91105-2663
US

V. Phone/Fax

Practice location:
  • Phone: 626-469-2939
  • Fax: 626-469-2956
Mailing address:
  • Phone: 626-469-2939
  • Fax: 626-469-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberA168780
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA168780
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA168780
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: