MEDICARE: DR. QUANG T. VO M.D.

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	208600000X	Surgery Physician	35038	AZ
2	208600000X	Surgery Physician	A97959	CA

General Provider Information

NPI Number	:	1821107749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUANG T. VO M.D.

Provider Business Mailing Address
First Line	:	2501 E CHAPMAN AVE
Second Line	:	STE 220
City	:	FULLERTON
State	:	CA
Zip	:	92831-3108
Country	:	US
Telephone Number	:	714-706-9868
Fax Number	:	714-492-8213

Provider Business Practice Location Address
First Line	:	600 N GARFIELD AVE STE 204
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-1169
Country	:	US
Telephone Number	:	714-708-0500
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	03/28/2023

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