Healthcare Provider Details

I. General information

NPI: 1760201008
Provider Name (Legal Business Name): VICTORIA HUYEN DAO DNP, FNP-BC, AGNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 W POINT LOMA BLVD APT 308
SAN DIEGO CA
92110-5609
US

IV. Provider business mailing address

4125 W POINT LOMA BLVD APT 308
SAN DIEGO CA
92110-5609
US

V. Phone/Fax

Practice location:
  • Phone: 619-616-2100
  • Fax:
Mailing address:
  • Phone: 916-420-2141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95032453
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: