Look up the most recent NPI and PECOS records

Jennifer Vu

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

757 Westwood Plz, Los Angeles, CA 90095-3534

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Vu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1740718402
Provider Type
Individual
Full Name
Vu, Jennifer
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
5/25/2017
Last Updated
8/9/2019

Contact Information

Practice Location

757 Westwood Plz, Los Angeles, CA 90095-3534

(310) 267-7765

Unlisted Fax

Mailing Location

20 Riverside, Irvine, CA 92602-0903

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LA2100X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95005953 California
Code 364SC1501X	Description Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers	License 545853 California
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 95026188 California

Jennifer Vu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Sturgeon, Kimberly

Mcrae, Marion Eleanor

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Stanczak, Melissa Elizabeth

So, Eileen Linda

Lee, Calvin Ping-Jin

Chavarria, Allison Yumiko

Ronan, Lindsey

Wherry, Carl Watt