Healthcare Provider Details

I. General information

NPI: 1699568618
Provider Name (Legal Business Name): BRITNEY VU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4431 VISION DR APT 8
SAN DIEGO CA
92121-1933
US

IV. Provider business mailing address

4431 VISION DR APT 8
SAN DIEGO CA
92121-1933
US

V. Phone/Fax

Practice location:
  • Phone: 209-471-4501
  • Fax:
Mailing address:
  • Phone: 209-471-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: