Dr. Van Chi Vong , MD
General Practice • San Gabriel, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Van Vong has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Van Vong, MD was a registered General Practice practicing in San Gabriel, CA. Throughout an active medical career spanning 20 years, Dr. Vong provided care at the practice location at 625 E VALLEY BLVD until profile deactivation on 2026-04-23.
Practice Location & Contact Primary Location
625 E Valley Blvd
Suite H
San Gabriel, CA 917763591
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in San Gabriel, CA
Practicing in San Gabriel, CA (2300 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Nurse Practitioner
Family Medicine
Family Nurse Practitioner (Certified)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 23, 2026
NPI status registered as active in NPPES database
Registered at 625 E VALLEY BLVD, SUITE H, SAN GABRIEL, CA 917763591 (Tel: 6265724658)
Registered at 625 E VALLEY BLVD STE H, SAN GABRIEL, CA 917763591 (Tel: 6265724658)
Recorded as VAN VONG, M.D.
General Practice (License #A62976 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
625 E Valley Blvd Ste H
San Gabriel, CA 917763591
Phone: 6265724658
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