Provider Demographics
NPI:1518012889
Name:DINH, TUAN ANH (DC)
Entity Type:Individual
Prefix:DR
First Name:TUAN
Middle Name:ANH
Last Name:DINH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 STORY RD UNIT 2033
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2687
Mailing Address - Country:US
Mailing Address - Phone:408-254-8981
Mailing Address - Fax:
Practice Address - Street 1:929 STORY RD UNIT 2033
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2687
Practice Address - Country:US
Practice Address - Phone:408-254-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27415111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA27415OtherBOARD OF CHIROPRACTIC EXAMINERS