Healthcare Provider Details

I. General information

NPI: 1013806801
Provider Name (Legal Business Name): HAI AU MINH DOAN DDS, A PROFESSIONAL DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1598 W KATELLA AVE
ANAHEIM CA
92802-2717
US

IV. Provider business mailing address

9931 WOODMERE CIR
WESTMINSTER CA
92683-7553
US

V. Phone/Fax

Practice location:
  • Phone: 714-837-5004
  • Fax: 714-823-7886
Mailing address:
  • Phone: 714-823-7886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HAI AU MINH DOAN
Title or Position: PRESIDENT
Credential: DDS
Phone: 714-823-7886