Individual
VU H LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 W COAST HWY, NEWPORT BEACH, CA 92663-4026
(949) 491-9991
Mailing address
3300 W COAST HWY, NEWPORT BEACH, CA 92663-4026
(949) 491-9991
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A110392
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
A110392
CA
Other
Enumeration date
07/29/2008
Last updated
09/22/2014
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