Healthcare Provider Details

I. General information

NPI: 1497646517
Provider Name (Legal Business Name): VICTORIA DAO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E ALOSTA AVE
AZUSA CA
91702-2701
US

IV. Provider business mailing address

525 N GARFIELD AVE
MONTEREY PARK CA
91754-1205
US

V. Phone/Fax

Practice location:
  • Phone: 626-969-3434
  • Fax:
Mailing address:
  • Phone: 626-458-4714
  • Fax: 626-458-4784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95036212
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number95274613
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: