Healthcare Provider Details

I. General information

NPI: 1821104423
Provider Name (Legal Business Name): TRUNG DUY DAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9211 BOLSA AVE SUITE 217
WESTMINSTER CA
92683-5567
US

IV. Provider business mailing address

10551 CRAWFORD CANYON RD
SANTA ANA CA
92705-1416
US

V. Phone/Fax

Practice location:
  • Phone: 714-898-7886
  • Fax: 714-898-8226
Mailing address:
  • Phone: 714-300-8539
  • Fax: 714-898-8226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA42590
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: