| Thuong Vo Medical Corporation | |
|
14360 Brookhurst St Garden Grove CA 92843-4608 | |
| (714) 333-8312 | |
| (714) 509-1751 |
| Full Name | Thuong Vo Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 14360 Brookhurst St, Garden Grove, California |
| Authorized Official Name and Position | Thuong D Vo (PRESIDENT) |
| Authorized Official Contact | 7142345826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thuong Vo Medical Corporation 43821 15th St W Lancaster CA 93534-4756 Ph: (714) 509-1751 | Thuong Vo Medical Corporation 14360 Brookhurst St Garden Grove CA 92843-4608 Ph: (714) 333-8312 |
| NPI Number | 1518691054 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/11/2022 |
| Medicare PECOS PAC ID | 8628452588 |
|---|---|
| Medicare Enrollment ID | O20220826002287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518691054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Thuong Duy Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760496574 PECOS PAC ID: 0446148233 Enrollment ID: I20110512000592 |
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