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Organization
VM PED MEDICAL GROUP
Active
Organization
VM PED MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAO N VO MD (AUTHORIZED OFFICIAL)
(281) 704-3833
Entity
Organization
Contact information
Practice address
10900 WARNER AVE STE 122, FOUNTAIN VALLEY, CA 92708-3846
(281) 704-3833
Mailing address
10900 WARNER AVE STE 122, FOUNTAIN VALLEY, CA 92708-3846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A111702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A111702
MEDICAL LICENSE
CA
Enumeration date
02/14/2018
Last updated
02/14/2018
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