MEDICARE: HAI AU MINH DOAN DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1013806801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAI AU MINH DOAN DDS INC

Provider Business Mailing Address
First Line	:	9931 WOODMERE CIR
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-7553
Country	:	US
Telephone Number	:	714-823-7886
Fax Number	:

Provider Business Practice Location Address
First Line	:	12732 BROOKHURST ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92840-4810
Country	:	US
Telephone Number	:	714-837-5004
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HAI AU MINH DOAN
Credential	:	DDS
Telephone Number	:	714-823-7886

Provider Enumeration Date	:	06/28/2025
Last Update Date	:	06/28/2025

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