Provider Demographics
NPI:1235185075
Name:DAO, TRUC HUY (MD)
Entity Type:Individual
Prefix:DR
First Name:TRUC
Middle Name:HUY
Last Name:DAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13071 BROOKHURST ST STE 180
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1097
Mailing Address - Country:US
Mailing Address - Phone:714-519-8306
Mailing Address - Fax:714-534-7246
Practice Address - Street 1:13071 BROOKHURST ST STE 180
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1097
Practice Address - Country:US
Practice Address - Phone:714-519-8306
Practice Address - Fax:714-534-7246
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50341207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF38330Medicare UPIN
CAA50341Medicare ID - Type Unspecified