Provider Demographics
NPI:1407185069
Name:TRUC H DAO, M.D., INC
Entity Type:Organization
Organization Name:TRUC H DAO, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:TRUC
Authorized Official - Middle Name:HUY
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-534-2760
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:714-534-2760
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:714-534-2760
Practice Address - Fax:714-534-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50341207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50341Medicare PIN