MEDICARE: VUONG VO LCSW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1508044868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VUONG VO LCSW

Provider Business Mailing Address
First Line	:	15397 ARLINGTON AVE
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-4529
Country	:	US
Telephone Number	:	909-806-5552
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 E COLORADO BLVD STE 180&2ND
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-6143
Country	:	US
Telephone Number	:	646-941-7645
Fax Number	:	929-596-7897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2008
Last Update Date	:	04/11/2025

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