Basic Information
| Provider Information | |||||||||
| NPI: | 1659808608 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DWORK | ||||||||
| FirstName: | NGA | ||||||||
| MiddleName: | HOANG VU | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10790 RANCHO BERNARDO ROAD, | ||||||||
| Address2: | MAIL DROP 4S-205, DESK 2368 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8589275527 | ||||||||
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| Practice Location | |||||||||
| Address1: | 130 CEDAR RD STE 350 | ||||||||
| Address2: | |||||||||
| City: | VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920835102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7608065500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 95006638 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.