Provider Demographics
NPI:1659561512
Name:DUC DINH VO, MD. INC
Entity Type:Organization
Organization Name:DUC DINH VO, MD. INC
Other - Org Name:MEDICAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DUC
Authorized Official - Middle Name:DINH
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-560-1226
Mailing Address - Street 1:2418 ULRIC ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-6040
Mailing Address - Country:US
Mailing Address - Phone:858-560-1226
Mailing Address - Fax:858-560-1205
Practice Address - Street 1:2418 ULRIC ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-6040
Practice Address - Country:US
Practice Address - Phone:858-560-1226
Practice Address - Fax:858-560-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
CAA43289261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A432890Medicaid
CAF21730Medicare UPIN
CA00A432890Medicaid