MEDICARE: PETER DAO

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	183500000X	Pharmacist	64674	CA

General Provider Information

NPI Number	:	1700449303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER DAO

Provider Business Mailing Address
First Line	:	23961 CALLE DE LA MAGDALENA STE 100
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3616
Country	:	US
Telephone Number	:	949-380-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	23961 CALLE DE LA MAGDALENA STE 100
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3616
Country	:	US
Telephone Number	:	949-380-8700
Fax Number	:

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

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	03/09/2026

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Directions to “ PETER DAO ” Practice Location

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