Provider Demographics
NPI:1063479665
Name:VO, QUOC LEDUY (DO)
Entity Type:Individual
Prefix:DR
First Name:QUOC
Middle Name:LEDUY
Last Name:VO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 HAYES ST.
Mailing Address - Street 2:SUITE #501
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117
Mailing Address - Country:US
Mailing Address - Phone:415-319-5859
Mailing Address - Fax:415-795-4132
Practice Address - Street 1:2250 HAYES ST.
Practice Address - Street 2:SUITE #501
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117
Practice Address - Country:US
Practice Address - Phone:415-319-5859
Practice Address - Fax:415-795-4132
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227955-1204D00000X
CA20A8596204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
442OtherNMM0OMM CERTIFICATE NUMBE
442OtherNMM0OMM CERTIFICATE NUMBE
CAH89150Medicare UPIN
CA020A85960Medicare ID - Type Unspecified