Provider Demographics
NPI:1962044438
Name:VU, LYNDA KIM-LINH (LAC)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:KIM-LINH
Last Name:VU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7041 SOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5228
Mailing Address - Country:US
Mailing Address - Phone:714-837-3663
Mailing Address - Fax:
Practice Address - Street 1:2800 PACIFIC AVE STE A
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1468
Practice Address - Country:US
Practice Address - Phone:562-310-1948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC18610171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist