Healthcare Provider Details

I. General information

NPI: 1831655620
Provider Name (Legal Business Name): VYONA HO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2019
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14140 BEACH BLVD STE 223
WESTMINSTER CA
92683-4453
US

IV. Provider business mailing address

1360 S ANAHEIM BLVD STE 101
ANAHEIM CA
92805-6205
US

V. Phone/Fax

Practice location:
  • Phone: 714-896-7566
  • Fax:
Mailing address:
  • Phone: 714-948-7641
  • Fax: 714-689-1381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number129729
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: