Provider Demographics
NPI:1275094013
Name:SIOW, CARRIE LAN VUONG (MD)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:LAN VUONG
Last Name:SIOW
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:LAN
Other - Last Name:VUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8899 UNIVERSITY CENTER LN STE 350
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1010
Mailing Address - Country:US
Mailing Address - Phone:858-657-1675
Mailing Address - Fax:858-657-1610
Practice Address - Street 1:8899 UNIVERSITY CENTER LN STE 350
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1010
Practice Address - Country:US
Practice Address - Phone:858-657-8322
Practice Address - Fax:858-657-1610
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA181265207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology