VANG VINCE MOUA PA-C NPI 1164682100

NPI Information

  • NPI: 1164682100
  • Provider Name: VANG VINCE MOUA, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4929 E KINGS CANYON RD
    FRESNO, CA
    ZIP 93727
  • Phone: (559) 255-6476

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NPI Details

Vang Vince Moua, PA-C is a medical physician assistant in Fresno, CA. Vang Vince Moua, PA-C NPI is 1164682100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4929 E KINGS CANYON RD
FRESNO, CA
ZIP 93727-812
Phone: (559) 255-6476
Fax: (559) 255-7906

The NPI 1164682100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2008 and was last updated on 6/12/2008.

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
1363AM0700XPhysician AssistantMedicalPA18492CALIFORNIAYes

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
1PA18492OTHERCALIFORNIAPHYSICIAN ASSISTANT COMMITTEE

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: 3/30/2025

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