Provider Demographics
NPI:1114910825
Name:DINWOODIE, DONALD ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ANDREW
Last Name:DINWOODIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 N TUSTIN AVE
Mailing Address - Street 2:SUITE 355
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-8644
Mailing Address - Country:US
Mailing Address - Phone:714-573-7060
Mailing Address - Fax:714-573-7061
Practice Address - Street 1:1401 N TUSTIN AVE
Practice Address - Street 2:SUITE 355
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8644
Practice Address - Country:US
Practice Address - Phone:714-573-7060
Practice Address - Fax:714-573-7061
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43965174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist