Provider Demographics
NPI:1720348816
Name:VUONG, KATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:VUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5055 CALIFORNIA AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0701
Mailing Address - Country:US
Mailing Address - Phone:661-635-3411
Mailing Address - Fax:661-869-6979
Practice Address - Street 1:5055 CALIFORNIA AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0701
Practice Address - Country:US
Practice Address - Phone:661-635-3411
Practice Address - Fax:661-869-6979
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA138827208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist