Provider Demographics
NPI:1518035047
Name:NGUYEN, MONG-DAN DINH (DC)
Entity Type:Individual
Prefix:DR
First Name:MONG-DAN
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:MONG
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:26970 HAYWARD BLVD
Mailing Address - Street 2:APT 1205
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94542-2004
Mailing Address - Country:US
Mailing Address - Phone:510-690-9084
Mailing Address - Fax:
Practice Address - Street 1:1 RIO VISTA AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5320
Practice Address - Country:US
Practice Address - Phone:510-493-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor