| Viet Trong Dao Md A Professional Medical Corporation | |
|
6255 University Ave Ste A-2 San Diego CA 92115-5727 | |
| (619) 583-0553 | |
| (619) 583-5702 |
| Full Name | Viet Trong Dao Md A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 6255 University Ave, San Diego, California |
| Authorized Official Name and Position | Viet T Dao (OWNER) |
| Authorized Official Contact | 6195830553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viet Trong Dao Md A Professional Medical Corporation 6255 University Ave Ste A-2 San Diego CA 92115-5727 Ph: (619) 583-0553 | Viet Trong Dao Md A Professional Medical Corporation 6255 University Ave Ste A-2 San Diego CA 92115-5727 Ph: (619) 583-0553 |
| NPI Number | 1902177066 |
|---|---|
| Provider Enumeration Date | 01/21/2012 |
| Last Update Date | 01/21/2012 |
| Medicare PECOS PAC ID | 6204096928 |
|---|---|
| Medicare Enrollment ID | O20120404000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902177066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Viet T Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861406225 PECOS PAC ID: 0547364416 Enrollment ID: I20070402000734 |
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