Healthcare Provider Details

I. General information

NPI: 1356189583
Provider Name (Legal Business Name): KRISTIN VO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E COLORADO BLVD STE 120
PASADENA CA
91101-6800
US

IV. Provider business mailing address

600 E COLORADO BLVD STE 120
PASADENA CA
91101-6800
US

V. Phone/Fax

Practice location:
  • Phone: 626-737-7358
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95030405
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95030405
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: