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Physician Compare National (NPI:1801829320)

HEALTHCARE PROVIDER: THO NUONG VINCENT M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1801829320
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1456510247
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120314000650
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name VINCENT
Individual professional last name
Provider First Name THO
Individual professional first name
Provider Middle Name N
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 16300 SAND CANYON AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 809
Group Practice or individual's line 2 address
City IRVINE
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 926183708
Group Practice or individual's zip code (9 digits when available)
Phone Number 9495859335
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 050603
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SADDLEBACK MEMORIAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 050224
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HOAG MEMORIAL HOSPITAL PRESBYTERIAN
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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