Healthcare Provider Details

I. General information

NPI: 1881193555
Provider Name (Legal Business Name): JASMINE TUYET DINH FNP, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TUYETSON THI DINH

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15571 BROOKHURST ST
WESTMINSTER CA
92683-7554
US

IV. Provider business mailing address

6618 ENSIGN AVE
NORTH HOLLYWOOD CA
91606-2023
US

V. Phone/Fax

Practice location:
  • Phone: 714-902-9523
  • Fax:
Mailing address:
  • Phone: 818-445-2055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95007408
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: