Provider Demographics
NPI:1295815736
Name:VO-HANSER, QUYNH THI NGOC (MD)
Entity type:Individual
Prefix:DR
First Name:QUYNH
Middle Name:THI NGOC
Last Name:VO-HANSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:QUYNH
Other - Middle Name:
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:770 THE CITY DRIVE SOUTH
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4929
Mailing Address - Country:US
Mailing Address - Phone:800-463-6628
Mailing Address - Fax:714-620-3008
Practice Address - Street 1:23441 MADISON STREET
Practice Address - Street 2:BLDG 8, SUITE 290
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4735
Practice Address - Country:US
Practice Address - Phone:310-375-7172
Practice Address - Fax:310-375-7192
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12533207VM0101X
CA130507207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H40094Medicare UPIN