Dien Vong, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10057 Issued in CA

Practice address

9528 Miramar Rd
Ste 68
San Diego, CA 92126-4533

Phone

(619) 890-8071

Fax

(858) 630-2538

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avida Center Acupuncture Corp

  • Acupuncturist
  • San Diego, CA
  • NPI 1316363492
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003929399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9528 MIRAMAR RD",
            "address_2": "STE 68",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264533",
            "telephone_number": "619-890-8071",
            "fax_number": "858-630-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9528 MIRAMAR RD",
            "address_2": "STE 68",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264533",
            "telephone_number": "619-890-8071",
            "fax_number": "858-630-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONG",
        "first_name": "DIEN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "AC0100570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Von Kleist, MD
• Friederike Carla Von Lintig, MD
• Michael William Von Plato, MD
• Debra Von Pohle, R.D.
• Melanie Von Schroter
• Hong Vong, M.S. CCC-SLP
• Marlene Ai Van Vong, L.AC.
• Vivian A Vong
• Tommy Vongkhamphanh
• Manilath Vongsavath, RCP, RT

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.