Provider Demographics
NPI:1609947852
Name:MICHAEL DAO MEDICAL OFFICE, INC.
Entity type:Organization
Organization Name:MICHAEL DAO MEDICAL OFFICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-775-3580
Mailing Address - Street 1:3701 W MCFADDEN AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-1385
Mailing Address - Country:US
Mailing Address - Phone:714-775-3580
Mailing Address - Fax:714-775-3579
Practice Address - Street 1:3701 W MCFADDEN AVE
Practice Address - Street 2:SUITE E
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-1385
Practice Address - Country:US
Practice Address - Phone:714-775-3580
Practice Address - Fax:714-775-3579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87942207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA87942EMedicare ID - Type Unspecified
CAI13433Medicare UPIN
CAW19640Medicare PIN