Provider Demographics
NPI:1821489329
Name:VU, HOANG (MSAOM, LAC)
Entity Type:Individual
Prefix:
First Name:HOANG
Middle Name:
Last Name:VU
Suffix:
Gender:M
Credentials:MSAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20121 VENTURA BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2558
Mailing Address - Country:US
Mailing Address - Phone:818-592-0355
Mailing Address - Fax:818-592-0378
Practice Address - Street 1:20121 VENTURA BLVD STE 205
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2558
Practice Address - Country:US
Practice Address - Phone:818-592-0355
Practice Address - Fax:818-592-0378
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16311171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist