Healthcare Provider Details

I. General information

NPI: 1528208626
Provider Name (Legal Business Name): TUONG-VAN T. DAO H.H.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 03/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30347 SANTA CECILIA DR
TEMECULA CA
92592-3211
US

IV. Provider business mailing address

30347 SANTA CECILIA DR
TEMECULA CA
92592-3211
US

V. Phone/Fax

Practice location:
  • Phone: 760-888-7099
  • Fax: 270-675-9217
Mailing address:
  • Phone: 760-888-7099
  • Fax: 270-675-9217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberABMP # 875997
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: