Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Sam Vuong

Individual provider Physician Assistant · NPI 1124627435

Kevin Sam Vuong is a Physician Assistant in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Signature Medical Clinics Inc, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1127 Wilshire Blvd Ste 1618
Los Angeles, CA 90017-4007
Phone: (213) 977-1176
Fax: (213) 977-0668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA58669 (CA)

Record details

NPI number1124627435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Signature Medical Clinics Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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