Provider Demographics
NPI:1144642687
Name:CHAU, VU HOANG (RN)
Entity type:Individual
Prefix:MR
First Name:VU
Middle Name:HOANG
Last Name:CHAU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 W 1ST ST SPC 78
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-3141
Mailing Address - Country:US
Mailing Address - Phone:714-425-7740
Mailing Address - Fax:
Practice Address - Street 1:4801 W 1ST ST SPC 78
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-3141
Practice Address - Country:US
Practice Address - Phone:714-425-7740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1710I1002X
FLRN9502317163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman