Provider Demographics
NPI:1720003064
Name:VUONG, DAO (DC)
Entity Type:Individual
Prefix:DR
First Name:DAO
Middle Name:
Last Name:VUONG
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 1:2875 SENTER RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-1156
Mailing Address - Country:US
Mailing Address - Phone:408-225-5263
Mailing Address - Fax:408-225-5217
Practice Address - Street 1:2875 SENTER RD
Practice Address - Street 2:SUITE C
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-1156
Practice Address - Country:US
Practice Address - Phone:408-225-5263
Practice Address - Fax:408-225-5217
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29018111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0290180Medicare PIN
CAU98812Medicare UPIN