Provider Demographics
NPI:1780875088
Name:VU Q BAN MD INC
Entity type:Organization
Organization Name:VU Q BAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF VU Q BAN MD INC
Authorized Official - Prefix:
Authorized Official - First Name:BAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-894-6233
Mailing Address - Street 1:14571 MAGNOLIA ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683
Mailing Address - Country:US
Mailing Address - Phone:714-894-6233
Mailing Address - Fax:
Practice Address - Street 1:14571 MAGNOLIA ST
Practice Address - Street 2:SUITE 106
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683
Practice Address - Country:US
Practice Address - Phone:714-894-6233
Practice Address - Fax:714-894-6211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty