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GENTRY VU MD INC NPI 1104008887


NPI Information

NPI: 1104008887
Provider Name: GENTRY VU MD INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D2048012

Address:
534 E MAPLE ST
STOCKTON, CA
ZIP 95204
Phone: (209) 933-0510
Get Directions

GENTRY VU MD INC is an obstetrics gynecology in Stockton, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GENTRY VU MD INC NPI is 1104008887. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

534 E MAPLE ST
STOCKTON, CA
ZIP 95204-112
Phone: (209) 933-0510
Fax: (209) 933-0513

The provider's authorized official is Gentry J Vu .
The authorized official title is President and has the following contact phone number (209) 933-0510.

The CLIA number assigned to this NPI record is 05D2048012 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 10/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyA90011CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A900110MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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