Provider Demographics
NPI:1790936250
Name:DAO, KIMBERLY UYEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:UYEN
Last Name:DAO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SORBONNE ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-8916
Mailing Address - Country:US
Mailing Address - Phone:714-379-6435
Mailing Address - Fax:
Practice Address - Street 1:7861 GARDEN GROVE BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-4224
Practice Address - Country:US
Practice Address - Phone:714-889-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist