MEDICARE: DR. DAO VUONG D.C.

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	111NN1001X	Nutrition Chiropractor	DC29018	CA

General Provider Information

NPI Number	:	1720003064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAO VUONG D.C.

Provider Business Mailing Address
First Line	:	2875 SENTER RD
Second Line	:	SUITE C
City	:	SAN JOSE
State	:	CA
Zip	:	95111-1156
Country	:	US
Telephone Number	:	408-225-5263
Fax Number	:	408-225-5217

Provider Business Practice Location Address
First Line	:	2875 SENTER RD
Second Line	:	SUITE C
City	:	SAN JOSE
State	:	CA
Zip	:	95111-1156
Country	:	US
Telephone Number	:	408-225-5263
Fax Number	:	408-225-5217

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/09/2007

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