PHAC VAN VO MD
NPI 1205913654
General Practice in Long Beach, CA

Q: What is Phac Vo's NPI number?

The NPI number for Phac Vo is 1205913654. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Phac Vo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Phac Vo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2006PECOS Enrolled

611 EAST ANAHEIM STREET, LONG BEACH, CA 90813(562) 591-8982(562) 591-8180 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phac Van Vo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHAC VAN VO MD (NPI 1205913654) is an individual general practice provider in Long Beach, California, licensed in California (A43290) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205913654

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NamePHAC VAN VOCredential: MD

Location Address611 EAST ANAHEIM STREETLong Beach, CA 90813

Mailing Address611 East Anaheim StreetLong Beach, CA 90813 · (562) 591-8982 · Fax (562) 591-8180

Phone(562) 591-8982

Fax(562) 591-8180

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205913654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A43290

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

611 EAST ANAHEIM STREET, Long Beach, CA 90813

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Other Identifiers 3

Medicare ID-Type UnspecifiedA43290CA

Medicaid00A432900CA

Medicare UPINF15095CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phac Van Vo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phac Vo's NPI number?

The NPI number for Phac Vo is 1205913654. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Phac Vo located?

Phac Vo practices at 611 East Anaheim Street, Long Beach, CA 90813. The listed phone number is (562) 591-8982.

What is Phac Vo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Phac Vo enrolled in Medicare?

Yes. Phac Vo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phac Vo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.