Provider Demographics
NPI:1932305034
Name:DAO, QUYEN (MD)
Entity Type:Individual
Prefix:DR
First Name:QUYEN
Middle Name:
Last Name:DAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17542 17TH ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-1959
Mailing Address - Country:US
Mailing Address - Phone:714-835-9550
Mailing Address - Fax:
Practice Address - Street 1:17542 17TH ST
Practice Address - Street 2:SUITE 410
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-1959
Practice Address - Country:US
Practice Address - Phone:714-835-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85506207RB0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine