Individual
ANNIE VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 W LA VETA AVE STE 250, ORANGE, CA 92868-4303
(714) 541-6622
Mailing address
1010 W LA VETA AVE, ORANGE, CA 92868-4300
(714) 541-6622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336738046
—
CA
Enumeration date
01/16/2021
Last updated
12/27/2023
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