Ms. Mai Chou Vang
Nurse Practitioner - Gerontology
555 E Hardy St
Inglewood
, California 90301-4011
Ms. Mai Chou Vang
Nurse Practitioner - Gerontology
555 E Hardy St
Inglewood
, California 90301-4011
(209) 406-3930
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Mai Chou Vang
- 160 S Virgil Ave Apt 207
- Los Angeles, CA
- Zip : 90004-6036
- Phone : (209) 406-3930
Second Address
- Ms. Mai Chou Vang
- 555 E Hardy St
- Inglewood, CA
- Zip : 90301-4011
- Phone : (310) 673-4660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | AG11200008 | CA |
National Provider Identifier
| NPI | 1063973923 |
|---|---|
| Provider Name | Ms. Mai Chou Vang |
| First Address | Los Angeles, CA 90004-6036 |
| Second Address | Inglewood, CA 90301-4011 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2019 |
| Last Update Date | 19/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.