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NPI Code Detail

MEDICARE: MATTHEW HOAIVU DINH PHARM.D.

MEDICARE: MATTHEW HOAIVU DINH PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist65782CA

General Provider Information

NPI Number : 1013284348
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW HOAIVU DINH PHARM.D.
Provider Business Mailing Address
First Line : 3200 BAGLEY AVE APT 9
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-2937
Country : US
Telephone Number : 714-247-9558
Fax Number :
Provider Business Practice Location Address
First Line : 3535 S LA CIENEGA BLVD
Second Line : T-1306
City : LOS ANGELES
State : CA
Zip : 90016-4407
Country : US
Telephone Number : 310-895-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2011
Last Update Date : 12/01/2011

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