Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 46048 | CA |
Y | 213EG0000X | General Practice | 46048 | CA |
NPI | 1003803651 |
---|---|
Provider Name | Dr. Vincent Do |
First Address | Cypress, CA 90630-3560 |
Second Address | Long Beach, CA 90813-3291 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 08/07/2007 |