Ky T. Vu, M.d., Inc. | |
17150 Euclid St Ste 200 Fountain Valley CA 92708-4092 | |
(714) 501-5798 | |
(714) 908-8120 |
Full Name | Ky T. Vu, M.d., Inc. |
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Speciality | Internal Medicine |
Location | 17150 Euclid St Ste 200, Fountain Valley, California |
Authorized Official Name and Position | Ky T. Vu (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 7145015798 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ky T. Vu, M.d., Inc. 15642 Sunflower Ln Huntington Beach CA 92647-2921 Ph: (714) 501-5798 | Ky T. Vu, M.d., Inc. 17150 Euclid St Ste 200 Fountain Valley CA 92708-4092 Ph: (714) 501-5798 |
NPI Number | 1043407844 |
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Provider Enumeration Date | 09/26/2007 |
Last Update Date | 08/26/2022 |
Medicare PECOS PAC ID | 2466590062 |
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Medicare Enrollment ID | O20091118000442 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043407844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A73556 (California) | Primary |
Provider Name | Ky T. Vu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801812664 PECOS PAC ID: 5890766125 Enrollment ID: I20040802001061 |
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