Provider Demographics
NPI:1689694689
Name:DAO, HUY NGOC (DO)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:NGOC
Last Name:DAO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2003
Mailing Address - Country:US
Mailing Address - Phone:209-656-0183
Mailing Address - Fax:209-656-0199
Practice Address - Street 1:1199 DELBON AVE
Practice Address - Street 2:STE 5
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2006
Practice Address - Country:US
Practice Address - Phone:209-656-0183
Practice Address - Fax:209-656-0199
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9483208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020A94831Medicare PIN