Provider Demographics
NPI:1013142215
Name:DINH, HUNG QUOC (LAC)
Entity type:Individual
Prefix:
First Name:HUNG
Middle Name:QUOC
Last Name:DINH
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13931 LA PAT PL
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3634
Mailing Address - Country:US
Mailing Address - Phone:714-901-6990
Mailing Address - Fax:714-901-6990
Practice Address - Street 1:13931 LA PAT PL
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3634
Practice Address - Country:US
Practice Address - Phone:714-901-6990
Practice Address - Fax:714-901-6990
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4935171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist