Healthcare Provider Details

I. General information

NPI: 1295267441
Provider Name (Legal Business Name): ANNIE DO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 29TH ST STE 600
SACRAMENTO CA
95816-5126
US

IV. Provider business mailing address

PO BOX 255228
SACRAMENTO CA
95865-5228
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-9588
  • Fax: 916-733-9593
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberA161081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: