Doctor Name: | JOHN VIEN DAO |
NPI Number: | 1356431217 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C043339 |
Business Practice Address: | 4929 E Kings Canyon Rd Fresno, CA - 937273812 |
Business Phone Number: | 5592556476 |
Business Fax Number: | 5592557906 |
Mailing Address: | 4929 E Kings Canyon Rd, FRESNO |
State: | CA |
Postal Code: | 937273812 |
Phone Number: | 5592556476 |
Fax Number: | 5592557906 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C043339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |