Provider Demographics
NPI:1144420399
Name:LA CAPRIA, DINO L (CP)
Entity Type:Individual
Prefix:MR
First Name:DINO
Middle Name:L
Last Name:LA CAPRIA
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 N BATAVIA ST STE 104
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-2019
Mailing Address - Country:US
Mailing Address - Phone:714-637-2788
Mailing Address - Fax:714-637-6941
Practice Address - Street 1:2324 N BATAVIA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-2019
Practice Address - Country:US
Practice Address - Phone:714-637-2788
Practice Address - Fax:714-637-6941
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAI-120033-L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist