MEDICARE: DR. NHAN THANH DINH D.C.

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
1	111N00000X	Chiropractor	DC-28058	CA

General Provider Information

NPI Number	:	1598809261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NHAN THANH DINH D.C.

Provider Business Mailing Address
First Line	:	4152 WATKINS WAY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95135-1047
Country	:	US
Telephone Number	:	408-930-9103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1669 FLANIGAN DR
Second Line	:	SUITE F
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1682
Country	:	US
Telephone Number	:	408-883-4133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	06/05/2015

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