Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | DRN 34 | CA |
NPI | 1346410776 |
---|---|
Provider Name | Trieu Timothy D Vo |
First Address | Irvine, CA 92618-4543 |
Second Address | Aliso Viejo, CA 92656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 13/05/2014 |