MEDICARE: THUAN H VO MD A MEDICAL CORPORATION

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	207R00000X	Internal Medicine Physician	A63971	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255352431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THUAN H VO MD A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	9024 BOLSA AVE
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-5531
Country	:	US
Telephone Number	:	714-899-2911
Fax Number	:	714-899-2150

Provider Business Practice Location Address
First Line	:	9024 BOLSA AVE
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-5531
Country	:	US
Telephone Number	:	714-899-2911
Fax Number	:	714-899-2150

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THUAN H VO
Credential	:	M.D.
Telephone Number	:	714-899-2911

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	08/22/2020

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