Vu, Quynh T

Vu, Quynh T is an individual health care provider with primary practice located at 18285 Collier Ave Ste 1F , Lake Elsinore CA 92530-2786. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vu, Quynh T can be contacted via phone (951) 674-5057.

Contact Information

Primary practice address
18285 Collier Ave Ste 1F Lake Elsinore CA 92530-2786
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11497T California

Profile Details

NPI number 1679581094
LBN Legal business name Vu, Quynh T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679581094 NPPES
California MEDICAID SD0114970

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