Provider Demographics
NPI:1952363103
Name:VU, CHRISTOPHER SON (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SON
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 S WILDROSE LN
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-1434
Mailing Address - Country:US
Mailing Address - Phone:714-281-2877
Mailing Address - Fax:
Practice Address - Street 1:3916 STATE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5602
Practice Address - Country:US
Practice Address - Phone:805-563-3010
Practice Address - Fax:805-564-5087
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90762207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A90762Medicaid
CACC242ZMedicare PIN
CA00A90762Medicaid