Provider Demographics
NPI:1932242526
Name:VUONG, CHI LINH (OD)
Entity Type:Individual
Prefix:
First Name:CHI
Middle Name:LINH
Last Name:VUONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10652 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-5023
Mailing Address - Country:US
Mailing Address - Phone:714-530-2006
Mailing Address - Fax:
Practice Address - Street 1:8201 WESTMINSTER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3332
Practice Address - Country:US
Practice Address - Phone:714-530-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12758152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist