Provider Demographics
NPI:1104067925
Name:VU, KHUE NGOC (MD)
Entity type:Individual
Prefix:
First Name:KHUE
Middle Name:NGOC
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 1:14571 MAGNOLIA ST STE 106
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5575
Mailing Address - Country:US
Mailing Address - Phone:714-894-6233
Mailing Address - Fax:714-894-6211
Practice Address - Street 1:14571 MAGNOLIA ST STE 106
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5575
Practice Address - Country:US
Practice Address - Phone:714-894-6233
Practice Address - Fax:714-894-6211
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2011-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105939207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine