Healthcare Provider Details

I. General information

NPI: 1124339874
Provider Name (Legal Business Name): VINA MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7838 WESTMINSTER BLVD
WESTMINSTER CA
92683-4034
US

IV. Provider business mailing address

7838 WESTMINSTER BLVD
WESTMINSTER CA
92683-4034
US

V. Phone/Fax

Practice location:
  • Phone: 714-858-3535
  • Fax:
Mailing address:
  • Phone: 714-858-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. TRAN ANH TRAN
Title or Position: MD
Credential:
Phone: 714-858-3535