Provider Demographics
NPI:1497371348
Name:VINSON K DIEP MD INC
Entity Type:Organization
Organization Name:VINSON K DIEP MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINSON
Authorized Official - Middle Name:KIEN
Authorized Official - Last Name:DIEP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-227-3988
Mailing Address - Street 1:1319 PUNAHOU ST STE 1190
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1089
Mailing Address - Country:US
Mailing Address - Phone:808-945-9955
Mailing Address - Fax:808-945-9988
Practice Address - Street 1:1319 PUNAHOU ST STE 1190
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1089
Practice Address - Country:US
Practice Address - Phone:808-945-9955
Practice Address - Fax:808-945-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty