Provider Demographics
NPI:1508027913
Name:VU, NGOC HONG (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NGOC
Middle Name:HONG
Last Name:VU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13075 HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1739
Mailing Address - Country:US
Mailing Address - Phone:714-638-2888
Mailing Address - Fax:714-638-8345
Practice Address - Street 1:13075 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1739
Practice Address - Country:US
Practice Address - Phone:714-638-2888
Practice Address - Fax:714-638-8345
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist