Organization Name: | DAN Q VU MD INC |
NPI Number: | 1093130981 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN VU (OWNER/PHYSICIAN) |
Mailing Address: | 2315 E Anaheim St Long Beach |
State: | CA US |
Postal Code: | 908043501 |
Phone Number: | 5626219231 |
Fax Number: | 5626219020 |
NPI Enumeration Date: | 02/28/2014 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A48672 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |