Provider Demographics
NPI:1821059957
Name:VU, NANCY THIEN (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:THIEN
Last Name:VU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 WESTMINSTER AVE. #2309
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740
Mailing Address - Country:US
Mailing Address - Phone:714-891-5453
Mailing Address - Fax:714-891-5346
Practice Address - Street 1:17100 EUCLID ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4004
Practice Address - Country:US
Practice Address - Phone:714-891-5453
Practice Address - Fax:714-891-5346
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG506632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G506631Medicaid
CAF65796Medicare UPIN
CAG50663Medicare ID - Type Unspecified