Healthcare Provider Details

I. General information

NPI: 1881519346
Provider Name (Legal Business Name): MARCUS VUONG
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1663 MISSION ST STE 250
SAN FRANCISCO CA
94103-2488
US

IV. Provider business mailing address

233 ARBALLO DR
SAN FRANCISCO CA
94132-2131
US

V. Phone/Fax

Practice location:
  • Phone: 415-383-6600
  • Fax: 415-751-3226
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: