Provider Demographics
NPI:1538577176
Name:NGO, VU (DC MSACN, CPT)
Entity type:Individual
Prefix:DR
First Name:VU
Middle Name:
Last Name:NGO
Suffix:
Gender:M
Credentials:DC MSACN, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8790 W COLFAX AVE
Mailing Address - Street 2:STE 10
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4025
Mailing Address - Country:US
Mailing Address - Phone:949-607-8832
Mailing Address - Fax:949-281-3846
Practice Address - Street 1:8790 W COLFAX AVE
Practice Address - Street 2:STE 10
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4025
Practice Address - Country:US
Practice Address - Phone:949-607-8832
Practice Address - Fax:949-281-3846
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-28
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB231651Medicare Oscar/Certification