Healthcare Provider Details

I. General information

NPI: 1306959333
Provider Name (Legal Business Name): DINESH GHIYA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15141 WHITTIER BLVD STE 350
WHITTIER CA
90603-2169
US

IV. Provider business mailing address

15141 WHITTIER BLVD STE 350
WHITTIER CA
90603-2169
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-7761
  • Fax: 562-698-6716
Mailing address:
  • Phone: 562-698-7761
  • Fax: 562-698-6716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA39512
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: