Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 20 A 7627 | CA |
NPI | 1205918299 |
---|---|
Provider Name | Dr. Hao Dinh |
First Address | Garden Grove, CA 92844-1326 |
Second Address | Garden Grove, CA 92844-1326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 19/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G51664 | (02) | CA |