Healthcare Provider Details

I. General information

NPI: 1568568582
Provider Name (Legal Business Name): QUANG DINH VO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 E 4TH ST STE 122
SANTA ANA CA
92705-3912
US

IV. Provider business mailing address

2021 E 4TH ST STE 122
SANTA ANA CA
92705-3912
US

V. Phone/Fax

Practice location:
  • Phone: 714-317-4998
  • Fax:
Mailing address:
  • Phone: 714-317-4998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA84479
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA84479
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: