Provider Demographics
NPI:1437131703
Name:VU, ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24355 LYONS AVENUE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2381
Mailing Address - Country:US
Mailing Address - Phone:661-222-9381
Mailing Address - Fax:661-222-2264
Practice Address - Street 1:9879 KY ROUTE 122
Practice Address - Street 2:
Practice Address - City:MC DOWELL
Practice Address - State:KY
Practice Address - Zip Code:41647-6042
Practice Address - Country:US
Practice Address - Phone:606-377-3400
Practice Address - Fax:606-377-3466
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2015-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYTP191207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine