Provider Demographics
NPI:1316817547
Name:DAO, QUYNH ANH NGUYEN (RPH)
Entity type:Individual
Prefix:
First Name:QUYNH ANH
Middle Name:NGUYEN
Last Name:DAO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9562 WASHINGTON AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-3232
Mailing Address - Country:US
Mailing Address - Phone:714-272-7948
Mailing Address - Fax:
Practice Address - Street 1:1375 E ONTARIO AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-6604
Practice Address - Country:US
Practice Address - Phone:951-582-0739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty