Provider Demographics
NPI:1821855271
Name:LE, DUY HAN DINH
Entity Type:Individual
Prefix:
First Name:DUY HAN
Middle Name:DINH
Last Name:LE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HAN
Other - Middle Name:
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:33779 DALTON CT
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3217
Mailing Address - Country:US
Mailing Address - Phone:510-320-7183
Mailing Address - Fax:
Practice Address - Street 1:33779 DALTON CT
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3217
Practice Address - Country:US
Practice Address - Phone:510-320-7183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician