MEDICARE: ANGELA VU SPEECH LANGUAGE PATHOLOGY, PC

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1770459547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELA VU SPEECH LANGUAGE PATHOLOGY, PC

Provider Business Mailing Address
First Line	:	14271 JEFFREY RD STE 106
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-3405
Country	:	US
Telephone Number	:	408-454-8823
Fax Number	:	408-359-6776

Provider Business Practice Location Address
First Line	:	2138 PENDIO
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-1760
Country	:	US
Telephone Number	:	408-454-8823
Fax Number	:	408-359-6776

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	ANGELA VU
Credential	:	MS, CCC-SLP
Telephone Number	:	408-454-8823

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	03/10/2026

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