Provider Demographics
NPI:1023791910
Name:DINH, NHAN HOANG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NHAN
Middle Name:HOANG
Last Name:DINH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:DINH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:270 HAZELTIME RD
Mailing Address - Street 2:
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-9367
Mailing Address - Country:US
Mailing Address - Phone:714-203-4304
Mailing Address - Fax:
Practice Address - Street 1:5905 LAKE EARL DR
Practice Address - Street 2:
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95532-0001
Practice Address - Country:US
Practice Address - Phone:707-495-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82030183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist