Vang Vince Moua in Fresno - Medical

Vang Vince Moua - NPI 1164682100

Vang Vince Moua is a Medical in Fresno, California. Vang Vince Moua practices all healthcare services and medical treatments related to Medical. The NPI Number for Vang Vince Moua is 1164682100. The last update date is 2008-06-12.

Vang Vince Moua's current location address is 4929 E Kings Canyon Rd, Fresno, California. You can contact this provider via phone number 5592556476 and fax number 5592557906. The mailing address for Vang Vince Moua is 4929 E Kings Canyon Rd, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Vang Vince Moua
Address 4929 E Kings Canyon Rd, Fresno, California
Phone Number 5592556476
Fax Number 5592557906
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1164682100
Provider Enumeration Date 2008-06-12
Last Updated Date 2008-06-12

Provider Mailing Address Detail

Address 4929 E Kings Canyon Rd
City Fresno
State California (CA)
Post Code 937273812
Phone Number 5592556476
Fax Number 5592557906

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA18492
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA18492 CA PHYSICIAN ASSISTANT COMMITTEE

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FAQs about Vang Vince Moua

What is the Vang Vince Moua's unique identification number?

The Vang Vince Moua has been assigned the NPI (National Provider Identifier) Number 1164682100 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Vang Vince Moua is located?

The Vang Vince Moua is situated at the following address: 4929 E Kings Canyon Rd, Fresno, CA, 937273812.

What is Vang Vince Moua's specialized field of practice, and what is the corresponding taxonomy classification code?

The Vang Vince Moua's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date was the 1164682100 assigned to Vang Vince Moua?

The Vang Vince Moua was issued its 1164682100 on 2008-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Vang Vince Moua last refreshed?

The information related to the Vang Vince Moua, including its address, specialty, and other relevant details, was last updated on 2008-06-12.

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