Provider Demographics
NPI:1932762382
Name:DAO, RUBY NGOC
Entity Type:Individual
Prefix:
First Name:RUBY NGOC
Middle Name:
Last Name:DAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 STORY RD UNIT 9024
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-4604
Mailing Address - Country:US
Mailing Address - Phone:408-610-9993
Mailing Address - Fax:
Practice Address - Street 1:999 STORY RD UNIT 9024
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-4604
Practice Address - Country:US
Practice Address - Phone:408-610-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-19
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist