MEDICARE: DR. MICHAEL JASON DAO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A87942	CA

General Provider Information

NPI Number	:	1033182951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JASON DAO M.D.

Provider Business Mailing Address
First Line	:	14362 BROOKHURST ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4608
Country	:	US
Telephone Number	:	714-531-7830
Fax Number	:	714-531-3763

Provider Business Practice Location Address
First Line	:	14362 BROOKHURST ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4608
Country	:	US
Telephone Number	:	714-531-7830
Fax Number	:	714-531-3763

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	12/27/2011

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