Provider Demographics
NPI:1659497725
Name:VO, DZUNG XUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DZUNG
Middle Name:XUAN
Last Name:VO
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:DIVISION OF ADOLESCENT MEDICINE, UCSF
Mailing Address - Street 2:3333 CALIFORNIA ST., SUITE 245
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118
Mailing Address - Country:US
Mailing Address - Phone:415-476-9618
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF ADOLESCENT MEDICINE, UCSF
Practice Address - Street 2:3333 CALIFORNIA ST., SUITE 245
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118
Practice Address - Country:US
Practice Address - Phone:415-476-9618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95815208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics