Provider Demographics
NPI:1124281415
Name:VU HONG PHAN CHIROPRACTIC INC
Entity type:Organization
Organization Name:VU HONG PHAN CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VU
Authorized Official - Middle Name:HONG
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-733-2225
Mailing Address - Street 1:24301 SOUTHLAND DRIVE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1552
Mailing Address - Country:US
Mailing Address - Phone:510-733-2225
Mailing Address - Fax:510-200-9311
Practice Address - Street 1:24301 SOUTHLAND DRIVE
Practice Address - Street 2:SUITE 311
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1552
Practice Address - Country:US
Practice Address - Phone:510-733-2225
Practice Address - Fax:510-200-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty