Provider Demographics
NPI:1346410776
Name:VO, TRIEU TIMOTHY D
Entity Type:Individual
Prefix:
First Name:TRIEU
Middle Name:TIMOTHY D
Last Name:VO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 ORCHARD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4543
Mailing Address - Country:US
Mailing Address - Phone:949-394-8893
Mailing Address - Fax:
Practice Address - Street 1:15 ARGONAUT
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656
Practice Address - Country:US
Practice Address - Phone:949-900-5500
Practice Address - Fax:949-900-5501
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADRN 34170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics