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NPI Code Detail

MEDICARE: MR. LONG THIEN VU

MEDICARE: MR. LONG THIEN VU
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
11041C0700XClinical Social Worker92882CA

General Provider Information

NPI Number : 1811267016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LONG THIEN VU
Provider Business Mailing Address
First Line : 2670 S WHITE RD STE 200
Second Line :
City : SAN JOSE
State : CA
Zip : 95148-2073
Country : US
Telephone Number : 408-937-1553
Fax Number : 408-516-0053
Provider Business Practice Location Address
First Line : 2670 S WHITE RD STE 200
Second Line :
City : SAN JOSE
State : CA
Zip : 95148-2073
Country : US
Telephone Number : 408-937-1553
Fax Number : 408-516-0053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2012
Last Update Date : 05/28/2023

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Directions to “ MR. LONG THIEN VU ” Practice Location

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