Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0000X | Obstetrician | A46581 | CA |
NPI | 1346277159 |
---|---|
Provider Name | Dr. Giao Van Vu |
First Address | San Jose, CA 95116-1397 |
Second Address | San Jose, CA 95116-1397 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 23/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B27376 | (02) | CA |