Healthcare Provider Details
I. General information
NPI: 1679331680
Provider Name (Legal Business Name): FRANCIS DINH PODIATRY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
612 9TH ST
HUNTINGTON BEACH CA
92648-4641
US
IV. Provider business mailing address
612 9TH ST
HUNTINGTON BEACH CA
92648-4641
US
V. Phone/Fax
- Phone: 650-493-5000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCIS
DINH
Title or Position: PRESIDENT
Credential: DPM
Phone: 650-493-5000