Individual
AMANDA VIVI VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, BUILDING 500, ROOM 6042, LOS ANGELES, CA 90073-1003
(805) 341-0881
Mailing address
11301 WILSHIRE BLVD, BUILDING 500, ROOM 6042, LOS ANGELES, CA 90073-1003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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