Provider Demographics
NPI:1538712864
Name:VO, STANLEY MINH (DC)
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:MINH
Last Name:VO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2380 MONTPELIER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1620
Mailing Address - Country:US
Mailing Address - Phone:408-585-8956
Mailing Address - Fax:408-937-1300
Practice Address - Street 1:2380 MONTPELIER DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1620
Practice Address - Country:US
Practice Address - Phone:408-585-8956
Practice Address - Fax:408-937-1300
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA34593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor