Athena Thu Vu, NP | |
801 N Tustin Ave Ste 702, Santa Ana, CA 92705-3611 | |
(714) 568-6600 | |
Not Available |
Full Name | Athena Thu Vu |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 801 N Tustin Ave Ste 702, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245717230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 95009551 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Harinder S. Gogia, M.d., Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356451264 PECOS PAC ID: 8527045004 Enrollment ID: O20040701001551 |
Mailing Address | Practice Location Address |
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Athena Thu Vu, NP 10641 Tammy St, Cypress, CA 90630-4952 Ph: () - | Athena Thu Vu, NP 801 N Tustin Ave Ste 702, Santa Ana, CA 92705-3611 Ph: (714) 568-6600 |
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