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NPI Code Detail

MEDICARE: JULIE DINH

MEDICARE: JULIE DINH
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1336977081
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE DINH
Provider Business Mailing Address
First Line : 2108 RUDOLPH DR
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93065-5050
Country : US
Telephone Number : 805-501-5764
Fax Number :
Provider Business Practice Location Address
First Line : 1075 E BETTERAVIA RD STE 201
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-7023
Country : US
Telephone Number : 805-621-7714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2024
Last Update Date : 03/27/2026

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Directions to “ JULIE DINH ” Practice Location

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