Individual
BAN Q VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
14571 MAGNOLIA ST, SUITE 106, WESTMINSTER, CA 92683
(714) 894-6233
(714) 894-6211
Mailing address
14571 MAGNOLIA ST, SUITE 106, WESTMINSTER, CA 92683
(714) 894-6233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A34606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A346060
MEDICAL
CA
Enumeration date
05/15/2006
Last updated
07/08/2007
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