Provider Demographics
NPI:1093693095
Name:VINH VU, DO PA
Entity type:Organization
Organization Name:VINH VU, DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:VINH
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-487-2143
Mailing Address - Street 1:3119 IVY HILL LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0167
Mailing Address - Country:US
Mailing Address - Phone:714-487-2143
Mailing Address - Fax:
Practice Address - Street 1:3119 IVY HILL LN
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-0167
Practice Address - Country:US
Practice Address - Phone:714-487-2143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility