Individual
JOHN DAI VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 E 21ST ST, STE D, SAN BERNARDINO, CA 92404-4851
(909) 882-8455
(909) 882-8050
Mailing address
355 E 21ST ST, STE D, SAN BERNARDINO, CA 92404-4851
(909) 882-8455
(909) 882-8050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A43167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A431671
—
CA
Enumeration date
10/20/2006
Last updated
07/08/2007
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