Tan D. Vu Od, Inc

NPI 1245457852 - Optometrist - 152W00000X

NPI Details
NPI 1245457852
Enumeration Date 04/18/2007
Last Updated 07/08/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TAN DUY TAN
Position PRESIDENT
Phone (951) 678-7690
Fax (951) 837-4816
Practice Location
34859 FREDRICK STREET
SUITE 109
WILDOMAR CA, 92595-2595, US
Phone (951) 678-7690
Fax (951) 837-4816
Business Location
34859 FREDRICK STREET
SUITE 109
WILDOMAR CA, 92595-2595, US
Phone (951) 678-7690
Fax (951) 837-4816
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 12670T
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According to our database, Tan D. Vu Od, Inc NPI is 1245457852, taxonomy code is 152W00000X and license number is 12670T, license state is located at California. Tan D. Vu Od, Inc physically located at 34859 Fredrick Street, Wildomar CA, 92595-2595. NPI Number 1033115704 has the healthcare provider type.

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1245457852 NPI number is provided on an as is basis without warranty of any kind. 1245457852 is maintained by the National Plan & Provider Enumeration System. The contents of Tan D. Vu Od, Inc are for informational purposes only.