Healthcare Provider Details

I. General information

NPI: 1194680652
Provider Name (Legal Business Name): ALEXANDER KIEN DAO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 ALMA ST STE 200
PALO ALTO CA
94301-1017
US

IV. Provider business mailing address

4236 CHRISTIAN DR
SAN JOSE CA
95135-1182
US

V. Phone/Fax

Practice location:
  • Phone: 650-326-3876
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH91625
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: