MEDICARE: ONE HEALTH MEDICAL & SURGICAL CENTER

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1285181156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE HEALTH MEDICAL & SURGICAL CENTER

Provider Business Mailing Address
First Line	:	425 OLD NEWPORT BLVD
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4250
Country	:	US
Telephone Number	:	408-315-6226
Fax Number	:

Provider Business Practice Location Address
First Line	:	4142 SHOREBREAK DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-2183
Country	:	US
Telephone Number	:	408-315-6226
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. QUYNH VU
Credential	:	D.O
Telephone Number	:	408-315-6226

Provider Enumeration Date	:	09/07/2016
Last Update Date	:	02/01/2024

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