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DUC DINH VO MD. INC NPI 1659561512


NPI Information

NPI: 1659561512
Provider Name: DUC DINH VO, MD. INC

Doing Business As: MEDICAL OFFICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D0570555

Address:
2418 ULRIC ST
SAN DIEGO, CA
ZIP 92111
Phone: (858) 560-1226
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DUC DINH VO, MD. INC is a primary care clinic center in San Diego, CA. DUC DINH VO, MD. INC NPI is 1659561512. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Office.

The provider's business location address is:

2418 ULRIC ST
SAN DIEGO, CA
ZIP 92111-040
Phone: (858) 560-1226
Fax: (858) 560-1205

The provider's authorized official is Duc Dinh Vo .
The authorized official title is President and has the following contact phone number (858) 560-1226.

The CLIA number assigned to this NPI record is 05D0570555 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 7/27/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareNo
2261QP2300XClinic/CenterPrimary CareA43289CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F21730MEDICARE UPINCALIFORNIA
200A432890MEDICAIDCALIFORNIA
3761027MEDICARE 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: 11/14/2023

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