Healthcare Provider Details

I. General information

NPI: 1538723622
Provider Name (Legal Business Name): PATRICK H DAO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 05/26/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 E DANENBERG DR
EL CENTRO CA
92243-8517
US

IV. Provider business mailing address

3221 CANDLEWOOD RD
TORRANCE CA
90505-7142
US

V. Phone/Fax

Practice location:
  • Phone: 760-352-2257
  • Fax:
Mailing address:
  • Phone: 310-650-4881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95011665
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: