Provider Demographics
NPI:1053691337
Name:VIET ANH BE, M.D., INC
Entity type:Organization
Organization Name:VIET ANH BE, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAN (CHRISTINE)
Authorized Official - Middle Name:NGUYEN
Authorized Official - Last Name:BE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-210-5665
Mailing Address - Street 1:11160 WARNER AVE, SUITE 301
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708
Mailing Address - Country:US
Mailing Address - Phone:714-210-5665
Mailing Address - Fax:714-210-0231
Practice Address - Street 1:11160 WARNER AVE STE 301
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4055
Practice Address - Country:US
Practice Address - Phone:714-210-5665
Practice Address - Fax:714-210-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207V00000X
CAG48753207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G487530Medicaid
G48753Medicare PIN
CA00G487530Medicaid