Provider Demographics
NPI:1073895389
Name:KHUE N. VU M.D. INC.
Entity Type:Organization
Organization Name:KHUE N. VU M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KHUE
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-645-2403
Mailing Address - Street 1:14571 MAGNOLIA ST STE 106
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5575
Mailing Address - Country:US
Mailing Address - Phone:714-894-6233
Mailing Address - Fax:714-894-6211
Practice Address - Street 1:14571 MAGNOLIA ST STE 106
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5575
Practice Address - Country:US
Practice Address - Phone:714-894-6233
Practice Address - Fax:714-894-6211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105939261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center