Healthcare Provider Details
I. General information
NPI: 1699121970
Provider Name (Legal Business Name): DAO INTEGRATED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2016
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 MARINA VILLAGE PKWY, STE 104
ALAMEDA CA
94502
US
IV. Provider business mailing address
1050 MARINA VILLAGE PKWY STE 104
ALAMEDA CA
94501-1033
US
V. Phone/Fax
- Phone: 510-957-8260
- Fax: 510-952-8266
- Phone: 510-957-8260
- Fax: 510-952-8266
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC16553 |
| License Number State | CA |
VIII. Authorized Official
Name:
CHRISTINE
DAO
Title or Position: FOUNDER & ACUPUNCTURIST
Credential: LAC
Phone: 510-957-8260