Healthcare Provider Details

I. General information

NPI: 1407720329
Provider Name (Legal Business Name): LOUIS VUONG DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1783 FLIGHT WAY
TUSTIN CA
92782-1838
US

IV. Provider business mailing address

1910 S UNION ST UNIT 3047
ANAHEIM CA
92805-7407
US

V. Phone/Fax

Practice location:
  • Phone: 949-722-7070
  • Fax: 949-516-7450
Mailing address:
  • Phone: 949-722-7070
  • Fax: 949-516-7450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: