Provider Demographics
NPI:1639776503
Name:DINH, NATHAN TUAN (PA-C)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:TUAN
Last Name:DINH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 E 4TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3871
Mailing Address - Country:US
Mailing Address - Phone:714-571-7799
Mailing Address - Fax:
Practice Address - Street 1:2212 E 4TH ST STE 103
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3871
Practice Address - Country:US
Practice Address - Phone:714-571-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant