Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | G80124 | CA |
NPI | 1649467325 |
---|---|
Provider Name | Hannah Vu |
First Address | Santa Ana, CA 92704-8203 |
Second Address | Santa Ana, CA 92704-8203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2007 |
Last Update Date | 27/06/2019 |