Khue N. Vu M.d. Inc. | |
14571 Magnolia St Ste 106 Westminster CA 92683-5575 | |
(714) 894-6233 | |
(714) 894-6211 |
Full Name | Khue N. Vu M.d. Inc. |
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Speciality | Clinic/Center |
Location | 14571 Magnolia St Ste 106, Westminster, California |
Authorized Official Name and Position | Khue Ngoc Vu (PRESIDENT) |
Authorized Official Contact | 9096452403 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Khue N. Vu M.d. Inc. 14571 Magnolia St Ste 106 Westminster CA 92683-5575 Ph: (714) 894-6233 | Khue N. Vu M.d. Inc. 14571 Magnolia St Ste 106 Westminster CA 92683-5575 Ph: (714) 894-6233 |
NPI Number | 1073895389 |
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Provider Enumeration Date | 09/13/2011 |
Last Update Date | 09/13/2011 |
Medicare PECOS PAC ID | 2466626965 |
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Medicare Enrollment ID | O20111118000374 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073895389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A105939 (California) | Primary |
Provider Name | Khue Ngoc Vu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104067925 PECOS PAC ID: 4284770579 Enrollment ID: I20090929000565 |
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