MEDICARE: DAN Q VU MD INC

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
1	208D00000X	General Practice Physician	A48672	CA

General Provider Information

NPI Number	:	1093130981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAN Q VU MD INC

Provider Business Mailing Address
First Line	:	2315 E ANAHEIM ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3501
Country	:	US
Telephone Number	:	562-621-9231
Fax Number	:	562-621-9020

Provider Business Practice Location Address
First Line	:	2315 E ANAHEIM ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3501
Country	:	US
Telephone Number	:	562-621-9231
Fax Number	:	562-621-9020

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DAN VU
Credential	:	MD
Telephone Number	:	562-276-5774

Provider Enumeration Date	:	02/28/2014
Last Update Date	:	11/25/2014

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