Provider Demographics
NPI:1184268708
Name:DINH, LE TUYET (PA)
Entity type:Individual
Prefix:
First Name:LE
Middle Name:TUYET
Last Name:DINH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 S 2ND ST APT E
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-5009
Mailing Address - Country:US
Mailing Address - Phone:626-417-6193
Mailing Address - Fax:
Practice Address - Street 1:330 S GARFIELD AVE STE 300
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3893
Practice Address - Country:US
Practice Address - Phone:626-417-6193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant