Individual
MRS. AMY ELIZABETH VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-6000
Mailing address
911 HACIENDA DR, EL CAJON, CA 92020-1715
(619) 742-1748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
19701
CA
363A00000X
Physician Assistant
PA1520
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033303201
—
CA
Enumeration date
08/30/2007
Last updated
03/30/2015
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