Provider Demographics
NPI:1548201122
Name:VU, MICHAEL THIEN (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:THIEN
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8860 BOLSA AVE
Mailing Address - Street 2:SUITE B2
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5498
Mailing Address - Country:US
Mailing Address - Phone:714-373-8555
Mailing Address - Fax:
Practice Address - Street 1:8860 BOLSA AVE
Practice Address - Street 2:SUITE B2
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5498
Practice Address - Country:US
Practice Address - Phone:714-373-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60092207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G600921Medicaid
CA00G600921Medicaid
CAMVG60092Medicare ID - Type Unspecified