Healthcare Provider Details

I. General information

NPI: 1437321932
Provider Name (Legal Business Name): MICHAEL MINH DAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9191 WESTMINSTER AVE
GARDEN GROVE CA
92844-2751
US

IV. Provider business mailing address

9191 WESTMINSTER AVE
GARDEN GROVE CA
92844-2751
US

V. Phone/Fax

Practice location:
  • Phone: 714-899-2000
  • Fax:
Mailing address:
  • Phone: 714-899-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA51334
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: