Provider Demographics
NPI:1417199183
Name:DINH, HIEP Q (MD,DO ETC)
Entity Type:Individual
Prefix:MR
First Name:HIEP
Middle Name:Q
Last Name:DINH
Suffix:
Gender:M
Credentials:MD,DO ETC
Other - Prefix:MR
Other - First Name:HIEP
Other - Middle Name:Q
Other - Last Name:DINH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ECT
Mailing Address - Street 1:2836 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3200
Mailing Address - Country:US
Mailing Address - Phone:714-288-8855
Mailing Address - Fax:714-288-8895
Practice Address - Street 1:2836 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3200
Practice Address - Country:US
Practice Address - Phone:714-288-8855
Practice Address - Fax:714-288-8895
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAI-87958-L156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician