Provider Demographics
NPI:1194807115
Name:VU, VAN H (MD)
Entity type:Individual
Prefix:
First Name:VAN
Middle Name:H
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4131 MORNING STAR DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3011
Mailing Address - Country:US
Mailing Address - Phone:714-848-9100
Mailing Address - Fax:714-848-9004
Practice Address - Street 1:17822 BEACH BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7101
Practice Address - Country:US
Practice Address - Phone:714-848-9100
Practice Address - Fax:714-848-9004
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG71968207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine