VVMD Medical Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

UBI 601860677 Issued in WA

Legal business name

VVMD MEDICAL INC

Practice address

6508 196TH St SW
Lynnwood, WA 98036-5922

Phone

(425) 673-2572

Fax

(425) 673-4131

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Daniel V. Phan, M.D.

Title

Medical Director

Phone

(425) 673-2572

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1093816571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365922",
            "telephone_number": "425-673-2572",
            "fax_number": "425-673-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365922",
            "telephone_number": "425-673-2572",
            "fax_number": "425-673-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVMD MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-673-2572",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "UBI 601860677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Vu
• Lisa Vu, M.D.
• My Phuong Vu
• Anisoara Vulpoi, D.D.S.
• Bonnica Vuong, RN
• Joann Wadge, M.A., L.M.H.C.
• Elizabeth Khisa Wafula
• Farris Ashley Rae Waggoner, PT, DPT
• Ann Wagner, L.M.P.
• Mercy N Wainaina, DNP-PMHNP

• Internal Medicine Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.