Provider Demographics
NPI:1730113242
Name:VU, DINH QUOC (MD)
Entity Type:Individual
Prefix:
First Name:DINH
Middle Name:QUOC
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 1:3307 MENDENARO CT
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-8041
Mailing Address - Country:US
Mailing Address - Phone:760-723-5514
Mailing Address - Fax:
Practice Address - Street 1:325 N BRANDON RD
Practice Address - Street 2:SUITE D
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-2253
Practice Address - Country:US
Practice Address - Phone:760-728-4561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69276207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F40655Medicare UPIN