Healthcare Provider Details

I. General information

NPI: 1083589196
Provider Name (Legal Business Name): ERIKA DAO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4210 TECHNOLOGY DR
FREMONT CA
94538-6337
US

IV. Provider business mailing address

4210 TECHNOLOGY DR
FREMONT CA
94538-6337
US

V. Phone/Fax

Practice location:
  • Phone: 510-556-6890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number250210249
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: