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

Vickie Vienkhong Amkhamavong

Individual provider Community Health Worker · NPI 1023285970

Vickie Vienkhong Amkhamavong is a Community Health Worker in Stockton, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

4410 N Pershing Ave Ste C1
Stockton, CA 95207-6960
Phone: (209) 323-5338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1023285970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2008
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

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