Provider Demographics
NPI:1356831663
Name:VY, WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:VY
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 1:17900 BROOKHURST ST STE B
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5141
Mailing Address - Country:US
Mailing Address - Phone:657-400-5248
Mailing Address - Fax:714-839-8145
Practice Address - Street 1:17900 BROOKHURST ST STE B
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5141
Practice Address - Country:US
Practice Address - Phone:657-400-5248
Practice Address - Fax:714-839-8145
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-11
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor