Individual
CA VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 DEEP VALLEY DR STE 200, ROLLING HILLS ESTATES, CA 90274-3614
(310) 896-2316
Mailing address
5538 SHOREVIEW DR, RANCHO PALOS VERDES, CA 90275-2226
(310) 408-9839
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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