Healthcare Provider Details

I. General information

NPI: 1790936250
Provider Name (Legal Business Name): KIMBERLY UYEN DAO PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7861 GARDEN GROVE BLVD
GARDEN GROVE CA
92841-4224
US

IV. Provider business mailing address

41 SORBONNE ST
WESTMINSTER CA
92683-8916
US

V. Phone/Fax

Practice location:
  • Phone: 714-889-2400
  • Fax:
Mailing address:
  • Phone: 714-379-6435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number51104
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: