Healthcare Provider Details

I. General information

NPI: 1245516855
Provider Name (Legal Business Name): NHU N DAO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2011
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W PARKRIDGE AVE
CORONA CA
92880-1450
US

IV. Provider business mailing address

120 W PARKRIDGE AVE
CORONA CA
92880-1450
US

V. Phone/Fax

Practice location:
  • Phone: 951-278-1852
  • Fax: 951-278-4309
Mailing address:
  • Phone: 951-278-1852
  • Fax: 951-278-4309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number57537
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: