Most Relevant Information
Provider Data
| NPI Number: | 1003443649 |
| Provider Name: | KIM HOANG VU |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2020 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
1770 N ORANGE GROVE AVE STE 101
POMONA
CA
917673027
Practice Location Phone/Fax
| Phone: | 9094699494 |
| Fax: | 9094692120 |
Provider Mailing Location
1770 N ORANGE GROVE AVE STE 101
POMONA
CA
917673027
Provider Mailing Phone/Fax
| Phone: | 9094699494 |
| Fax: | 9094692120 |