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NPI Code Detail

MEDICARE: KATHY TRINH DINH

MEDICARE: KATHY TRINH DINH
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
1183500000XPharmacist62276CA

General Provider Information

NPI Number : 1912279027
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY TRINH DINH
Provider Business Mailing Address
First Line : 13922 CHERRY ST APT 7
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-3879
Country : US
Telephone Number : 857-234-1439
Fax Number :
Provider Business Practice Location Address
First Line : 4041 N SIERRA WAY
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92407-3816
Country : US
Telephone Number : 909-881-1813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2012
Last Update Date : 02/04/2012

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Directions to “ KATHY TRINH DINH ” Practice Location

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