Please mark your calendar for the 2018 VPASC Tết Gala on Saturday, February 3, 2018 at the Irvine Marriott Hotel from 6 PM-12 AM..

Membership Registration

Applying for VPASC Membership: step by step instructions

OR

VPASC
c/o Luan Nguyen, MD
18080 Beach Boulevard
Suite 105
Huntington Beach, CA 92648

 


VIETNAMESE PHYSICIAN ASSOCIATION OF SOUTHERN CALIFORNIA
MEMBERSHIP APPLICATION FORM


Type of Membership



Name:

Email:

Medical School:     Year of Graduation:

Specialty:      Physician License #:

Business Address

Street:

City: State:    Zip Code:

Business Phone: Cell Phone:

Birthday MM/DD:

Spouse Information [Optional]

Spouse Name:

Spouse Occupation:   Cell Phone:

Spouse Email:   Spouse Birthday MM/DD:

  

Why do you want to join VPASC?