Provider Demographics
NPI:1538287487
Name:DINHLUU, THAIKHANH A (DC)
Entity Type:Individual
Prefix:DR
First Name:THAIKHANH
Middle Name:A
Last Name:DINHLUU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2492 WALNUT AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-6959
Mailing Address - Country:US
Mailing Address - Phone:949-955-2655
Mailing Address - Fax:714-544-2189
Practice Address - Street 1:2492 WALNUT AVE STE 150
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-6959
Practice Address - Country:US
Practice Address - Phone:949-955-2655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC23242Medicare ID - Type Unspecified