Individual
TRACY HANH PHUONG VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 S TUSTIN ST, ORANGE, CA 92866-3425
(714) 922-4100
Mailing address
14108 LOCUST ST, WESTMINSTER, CA 92683-4208
(714) 837-9841
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
04/20/2022
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