Provider Demographics
NPI:1770459547
Name:ANGELA VU SPEECH LANGUAGE PATHOLOGY PC
Entity type:Organization
Organization Name:ANGELA VU SPEECH LANGUAGE PATHOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:408-454-8823
Mailing Address - Street 1:14271 JEFFREY RD STE 106
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3405
Mailing Address - Country:US
Mailing Address - Phone:408-454-8823
Mailing Address - Fax:408-359-6776
Practice Address - Street 1:2138 PENDIO
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-1760
Practice Address - Country:US
Practice Address - Phone:408-454-8823
Practice Address - Fax:408-359-6776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty