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Christopher Son Vu

Emergency Medicine

Allopathic & Osteopathic Physicians

3916 State St, Suite 300, Santa Barbara, CA 93105-5602

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTOPHER VU.

Based on the most recent information from CMS, provider Christopher Son Vu is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:36 AM.

Profile Details

Provider ID
1952363103
Provider Type
Individual
Full Name
Vu, Christopher Son
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/4/2006
Last Updated
9/2/2009

Contact Information

Practice Location

3916 State St, Suite 300, Santa Barbara, CA 93105-5602

(805) 563-3010

(805) 564-5087

Mailing Location

981 S Wildrose Ln, Anaheim, CA 92808-1434

(714) 281-2877

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A90762 California

Provider Identifiers

ID	Description	Issuer
ID 00A90762	Description Medicaid	Issuer Unlisted California

Christopher Son Vu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Houston, Kyle Jacob

Trosino, Lisa

Vowels, John

Gerhardt, Nels James

Hauser, Mark G

Hood, Marissa Oriana

Godbold, Donald Terrence

Skrupky, Ryan A

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Beato, David K