Provider Demographics
NPI:1699121970
Name:DAO INTEGRATED HEALTH
Entity type:Organization
Organization Name:DAO INTEGRATED HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-957-8260
Mailing Address - Street 1:1050 MARINA VILLAGE PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1033
Mailing Address - Country:US
Mailing Address - Phone:510-957-8260
Mailing Address - Fax:510-952-8266
Practice Address - Street 1:1050 MARINA VILLAGE PKWY, STE 104
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502
Practice Address - Country:US
Practice Address - Phone:510-957-8260
Practice Address - Fax:510-952-8266
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAO INTEGRATED HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16553171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty