Provider Demographics
NPI:1073957718
Name:VU, JASON T (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:T
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44045 MARGARITA RD
Mailing Address - Street 2:STE 203
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-2730
Mailing Address - Country:US
Mailing Address - Phone:626-720-7426
Mailing Address - Fax:
Practice Address - Street 1:44045 MARGARITA RD STE 203
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-2730
Practice Address - Country:US
Practice Address - Phone:951-262-4488
Practice Address - Fax:951-262-4414
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137093207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine