Provider Demographics
NPI:1336205277
Name:DINH, HANH H (MD)
Entity Type:Individual
Prefix:
First Name:HANH
Middle Name:H
Last Name:DINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-6714
Mailing Address - Country:US
Mailing Address - Phone:225-715-7246
Mailing Address - Fax:714-465-2571
Practice Address - Street 1:7901 LIBERTY DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6714
Practice Address - Country:US
Practice Address - Phone:225-715-7246
Practice Address - Fax:714-465-2571
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07896R207Q00000X
CAC50645207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACFE50645OtherMEDICAL BOARD OF CALIFORNIA
CACFE50645OtherMEDICAL BOARD OF CALIFORNIA
LA1922366Medicare ID - Type Unspecified
E01745Medicare UPIN