Provider Demographics
NPI:1952661027
Name:TRINH VU, MD., INC.
Entity Type:Organization
Organization Name:TRINH VU, MD., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRINH
Authorized Official - Middle Name:LANEE
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-957-3901
Mailing Address - Street 1:1545 SAINT MARKS PLAZA
Mailing Address - Street 2:SUITE 3
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6114
Mailing Address - Country:US
Mailing Address - Phone:209-957-3901
Mailing Address - Fax:209-957-2857
Practice Address - Street 1:1545 SAINT MARKS PLAZA
Practice Address - Street 2:SUITE 3
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6114
Practice Address - Country:US
Practice Address - Phone:209-957-3901
Practice Address - Fax:209-957-2857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A373770Medicaid
CAG83154-00A60192-00A3Medicaid
CA00A601920Medicaid
CAG83154Medicare UPIN