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NPI Code Detail

MEDICARE: MO VANG

MEDICARE: MO VANG
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
1373H00000XDay Training/Habilitation Specialist
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1235913328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MO VANG
Provider Business Mailing Address
First Line : 4879 E CESAR CHAVEZ BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-255-8395
Fax Number :
Provider Business Practice Location Address
First Line : 4871 E CESAR CHAVEZ BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-255-8395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2023
Last Update Date : 01/29/2026

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Directions to “ MO VANG ” Practice Location

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