Individual provider · Type 1 NPI

Vivian Thao Khieu

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1679459408 Active

Practice location

15985 Cayenne Ridge Rd
San Diego, CA 92127-3705

Call (858) 610-9201 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679459408

Vivian Thao Khieu's National Provider Identifier is 1679459408, issued on Aug 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Aug 15, 2025.