Provider Demographics
NPI:1821216821
Name:VO, TAM THI (DC)
Entity Type:Individual
Prefix:DR
First Name:TAM
Middle Name:THI
Last Name:VO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 E CAPITOL EXPY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1824
Mailing Address - Country:US
Mailing Address - Phone:408-223-1508
Mailing Address - Fax:408-223-7032
Practice Address - Street 1:1611 E CAPITOL EXPY
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1824
Practice Address - Country:US
Practice Address - Phone:408-223-1508
Practice Address - Fax:408-223-7032
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19672111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ02049ZMedicare ID - Type Unspecified
CAU27776Medicare UPIN