Active NPI
Kydao,MD,Inc
- Specialist
- Garden Grove, CA
National Provider Identifier
1699700112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A44188
- Legal business name
- KYDAO,MD,INC
- Practice address
- 13918 Brookhurst St
Suite B
Garden Grove, CA 92843-4332 - Phone
- (714) 638-9119
- Fax
- (714) 638-0429
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ky Dao, M.D.
- Title
- President
- Phone
- (714) 638-9119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A44188 | CA | Primary |
Addresses
Primary practice location
13918 Brookhurst St
Suite B
Garden Grove, CA 92843-4332
Mailing address
13918 Brookhurst St
Suite B
Garden Grove, CA 92843-4332
Phone (714) 638-9119
National Provider Directory
National Provider DirectoryLocations
13918 Brookhurst St
Ste B
Garden Grove, CA 92843
Phone (714) 638-9119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699700112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13918 BROOKHURST ST",
"address_2": "SUITE B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434332",
"telephone_number": "714-638-9119",
"fax_number": "714-638-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13918 BROOKHURST ST",
"address_2": "SUITE B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434332",
"telephone_number": "714-638-9119",
"fax_number": "714-638-0429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYDAO,MD,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DAO",
"authorized_official_first_name": "KY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-638-9119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A44188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.