MEDICARE: CHI LINH VUONG O.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	152W00000X	Optometrist	12758	CA

General Provider Information

NPI Number	:	1932242526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHI LINH VUONG O.D.

Provider Business Mailing Address
First Line	:	10652 PEARL ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92840-5023
Country	:	US
Telephone Number	:	714-530-2006
Fax Number	:

Provider Business Practice Location Address
First Line	:	8201 WESTMINSTER BLVD STE 101
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3332
Country	:	US
Telephone Number	:	714-530-2006
Fax Number	:

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	04/29/2024

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