Provider Demographics
NPI:1770709297
Name:DINH, LAM H (DC)
Entity type:Individual
Prefix:DR
First Name:LAM
Middle Name:H
Last Name:DINH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 S. WHITE RD.
Mailing Address - Street 2:STE. 40
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2075
Mailing Address - Country:US
Mailing Address - Phone:408-532-1130
Mailing Address - Fax:408-532-1142
Practice Address - Street 1:2690 S WHITE RD
Practice Address - Street 2:STE. 40
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2076
Practice Address - Country:US
Practice Address - Phone:408-532-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor