Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A162446 | CA |
NPI | 1003176785 |
---|---|
Provider Name | Anh Dao |
First Address | Orange, CA 92868-4445 |
Second Address | Orange, CA 92868-4445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 27/03/2020 |