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NPI Code Detail

MEDICARE: MINDY DIEUMINH TRINH OD

MEDICARE:   MINDY DIEUMINH TRINH  OD
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
1152W00000XOptometrist12629CA

General Provider Information

NPI Number : 1962555789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDY DIEUMINH TRINH OD
Provider Business Mailing Address
First Line : 3257 S WHITE RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95148-4056
Country : US
Telephone Number : 408-238-9696
Fax Number :
Provider Business Practice Location Address
First Line : 3257 S WHITE RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95148-4056
Country : US
Telephone Number : 408-238-9696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 01/27/2009

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Directions to “ MINDY DIEUMINH TRINH OD” Practice Location

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