Provider Demographics
NPI:1023297603
Name:DINH, DOAN-THY VU (DC)
Entity type:Individual
Prefix:DR
First Name:DOAN-THY
Middle Name:VU
Last Name:DINH
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 1:225 KALMIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-1517
Mailing Address - Country:US
Mailing Address - Phone:619-384-0203
Mailing Address - Fax:
Practice Address - Street 1:2722 5TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6329
Practice Address - Country:US
Practice Address - Phone:619-688-6522
Practice Address - Fax:619-688-9743
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor