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NPI Code Detail

MEDICARE: DR. ALYSSA VU D.D.S.

MEDICARE: DR. ALYSSA VU D.D.S.
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
1122300000XDentist13035TN

General Provider Information

NPI Number : 1316491558
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALYSSA VU D.D.S.
Provider Business Mailing Address
First Line : 18821 VIA SAN MARCO
Second Line :
City : IRVINE
State : CA
Zip : 92603-3436
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1535 SPRINGFIELD DR
Second Line :
City : CHICO
State : CA
Zip : 95928-6398
Country : US
Telephone Number : 530-936-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2016
Last Update Date : 02/10/2026

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