Individual
KENNY B VINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
515 S BEACH BLVD STE F, ANAHEIM, CA 92804-1812
(714) 995-7503
(714) 731-8310
Mailing address
515 S BEACH BLVD STE F, ANAHEIM, CA 92804-1812
(714) 995-7503
(714) 731-8310
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20539
CA
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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