Provider Demographics
NPI:1205918299
Name:DINH, HAO (DO)
Entity type:Individual
Prefix:DR
First Name:HAO
Middle Name:
Last Name:DINH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13132 MAGNOLIA ST STE A
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1326
Mailing Address - Country:US
Mailing Address - Phone:714-590-8900
Mailing Address - Fax:714-590-8471
Practice Address - Street 1:13132 MAGNOLIA ST STE A
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1326
Practice Address - Country:US
Practice Address - Phone:714-590-8900
Practice Address - Fax:714-590-8471
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20 A 7627207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG51664Medicare UPIN
CA2087627Medicare ID - Type Unspecified