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NPI Code Detail

MEDICARE: VINH H VU MD

MEDICARE:   VINH H VU  MD
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
1207R00000XInternal Medicine PhysicianC52540CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00755268OTHERCAMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568426740
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINH H VU MD
Provider Business Mailing Address
First Line : 39765 DATE ST
Second Line : STE 102
City : MURRIETA
State : CA
Zip : 92563-2005
Country : US
Telephone Number : 714-665-1600
Fax Number :
Provider Business Practice Location Address
First Line : 1035 S MAIN AVE
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-3338
Country : US
Telephone Number : 714-549-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 10/10/2018

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