Healthcare Provider Details

I. General information

NPI: 1720003064
Provider Name (Legal Business Name): DAO VUONG D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2875 SENTER RD SUITE C
SAN JOSE CA
95111-1156
US

IV. Provider business mailing address

2875 SENTER RD SUITE C
SAN JOSE CA
95111-1156
US

V. Phone/Fax

Practice location:
  • Phone: 408-225-5263
  • Fax: 408-225-5217
Mailing address:
  • Phone: 408-225-5263
  • Fax: 408-225-5217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC29018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: