Healthcare Provider Details

I. General information

NPI: 1659502953
Provider Name (Legal Business Name): HUNG HUY DAO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: KEVIN HUNG HUY DAO

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 MARCONI AVE
SACRAMENTO CA
95821-5303
US

IV. Provider business mailing address

3737 MARCONI AVE
SACRAMENTO CA
95821-5303
US

V. Phone/Fax

Practice location:
  • Phone: 916-480-1801
  • Fax:
Mailing address:
  • Phone: 916-559-1809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: