Healthcare Provider Details

I. General information

NPI: 1629582564
Provider Name (Legal Business Name): TRACIE VU RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2017
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6940 WESTMINSTER BLVD
WESTMINSTER CA
92683-3711
US

IV. Provider business mailing address

6940 WESTMINSTER BLVD
WESTMINSTER CA
92683-3711
US

V. Phone/Fax

Practice location:
  • Phone: 714-248-9099
  • Fax: 714-364-0093
Mailing address:
  • Phone: 714-248-9099
  • Fax: 714-364-0093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76870
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: