Provider Demographics
NPI:1578862256
Name:VU, HAILONG DINH (MD)
Entity Type:Individual
Prefix:
First Name:HAILONG
Middle Name:DINH
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 1:10741 OAK ST
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-3029
Mailing Address - Country:US
Mailing Address - Phone:714-867-4794
Mailing Address - Fax:
Practice Address - Street 1:2237 W BALL RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804
Practice Address - Country:US
Practice Address - Phone:714-490-2750
Practice Address - Fax:714-490-2757
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1226882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry