Provider Demographics
NPI:1528196557
Name:DAO, HUNG DUY (DC)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:DUY
Last Name:DAO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 N WINCHESTER BLVD
Mailing Address - Street 2:SUITE 2G
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1313
Mailing Address - Country:US
Mailing Address - Phone:408-261-3646
Mailing Address - Fax:408-385-1853
Practice Address - Street 1:826 N WINCHESTER BLVD
Practice Address - Street 2:SUITE 2G
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1313
Practice Address - Country:US
Practice Address - Phone:408-261-3646
Practice Address - Fax:408-385-1853
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor