Provider Demographics
NPI:1093885907
Name:VU, COBI CUONG (DC)
Entity Type:Individual
Prefix:DR
First Name:COBI
Middle Name:CUONG
Last Name:VU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 W POINT LOMA BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-5642
Mailing Address - Country:US
Mailing Address - Phone:619-225-6945
Mailing Address - Fax:619-225-6946
Practice Address - Street 1:3944 W POINT LOMA BLVD STE H
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-5642
Practice Address - Country:US
Practice Address - Phone:619-225-6945
Practice Address - Fax:619-225-6946
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28194111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor