Healthcare Provider Details

I. General information

NPI: 1679354237
Provider Name (Legal Business Name): HAI UY VUONG AGACNP-BC, ACNPC-AG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HARVEY VUONG AGACNP-BC, ACNPC-AG

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 HYDE ST
SAN FRANCISCO CA
94109-4806
US

IV. Provider business mailing address

410 DIAMOND ST
SAN FRANCISCO CA
94114-2823
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-6000
  • Fax:
Mailing address:
  • Phone: 415-860-8313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95027629
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: