Organization Active NPI

Kydao,MD,Inc

  • Specialist
  • Garden Grove, CA
National Provider Identifier
1699700112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A44188 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.