Healthcare Provider Details

I. General information

NPI: 1467614735
Provider Name (Legal Business Name): CHRISTOPHER C. NINH MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17305 VON KARMAN AVE STE 100
IRVINE CA
92614-0903
US

IV. Provider business mailing address

17305 VON KARMAN AVE STE 100
IRVINE CA
92614-0903
US

V. Phone/Fax

Practice location:
  • Phone: 714-432-9990
  • Fax: 714-432-9988
Mailing address:
  • Phone: 714-432-9990
  • Fax: 714-432-9988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA98528
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number20A11544
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT38861
License Number StateCA

VIII. Authorized Official

Name: CHRISTOPHER C. NINH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-876-4876