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NPI Code Detail

MEDICARE: MINNIE VO

MEDICARE: MINNIE VO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician Assistant60818CA

General Provider Information

NPI Number : 1922695139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINNIE VO
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number :
Provider Business Practice Location Address
First Line : 900 VETERANS BLVD STE 150
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-1741
Country : US
Telephone Number : 415-291-0480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2020
Last Update Date : 09/21/2022

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Directions to “ MINNIE VO ” Practice Location

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