Provider Demographics
NPI:1770766834
Name:VO, THOI THANH (MD)
Entity type:Individual
Prefix:DR
First Name:THOI
Middle Name:THANH
Last Name:VO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VO
Other - Middle Name:THANH
Other - Last Name:THOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, DBA
Mailing Address - Street 1:250 HOSPITAL CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3953
Mailing Address - Country:US
Mailing Address - Phone:714-890-6644
Mailing Address - Fax:714-890-3200
Practice Address - Street 1:250 HOSPITAL CIR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3953
Practice Address - Country:US
Practice Address - Phone:714-890-6644
Practice Address - Fax:714-899-3493
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39943208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
005728216AOtherHIC
1102072781160OtherICN
7103304075922OtherAR
CAA00039943Medicaid
005728216AOtherHIC
1102072781160OtherICN
CAA00039943Medicaid