Provider Demographics
NPI:1235104399
Name:VU, TRINH DUC (MD)
Entity Type:Individual
Prefix:DR
First Name:TRINH
Middle Name:DUC
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 CASS ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4528
Mailing Address - Country:US
Mailing Address - Phone:831-394-0615
Mailing Address - Fax:831-394-4580
Practice Address - Street 1:975 CASS ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4528
Practice Address - Country:US
Practice Address - Phone:831-394-0615
Practice Address - Fax:831-394-4580
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79378171M00000X, 174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0A7937810Medicare PIN
CAH68737Medicare UPIN
CAWA79378BMedicare ID - Type Unspecified