Provider Demographics
NPI:1861801995
Name:AU, VINH
Entity type:Individual
Prefix:
First Name:VINH
Middle Name:
Last Name:AU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95776-6252
Mailing Address - Country:US
Mailing Address - Phone:530-668-1457
Mailing Address - Fax:530-668-1714
Practice Address - Street 1:755 RIVERPOINT CT
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-1654
Practice Address - Country:US
Practice Address - Phone:916-373-2213
Practice Address - Fax:916-373-2213
Is Sole Proprietor?:No
Enumeration Date:2014-08-02
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist