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NPI Code Detail

MEDICARE: CHRISTINE VU

MEDICARE:   CHRISTINE  VU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1083739551
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE VU
Provider Business Mailing Address
First Line : 20412 HEMMINGWAY ST
Second Line :
City : WINNETKA
State : CA
Zip : 91306-2249
Country : US
Telephone Number : 818-462-3155
Fax Number :
Provider Business Practice Location Address
First Line : 4618 FOUNTAIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-1830
Country : US
Telephone Number : 323-644-6180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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Directions to “ CHRISTINE VU ” Practice Location

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