MEDICARE: MINDY D. TRINH OD INC

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	152W00000X	Optometrist	12629T	CA

General Provider Information

NPI Number	:	1952574501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDY D. TRINH OD INC

Provider Business Mailing Address
First Line	:	3257 S WHITE RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95148-4056
Country	:	US
Telephone Number	:	408-238-9696
Fax Number	:	408-238-4067

Provider Business Practice Location Address
First Line	:	3257 S WHITE RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95148-4056
Country	:	US
Telephone Number	:	408-238-9696
Fax Number	:	408-238-4067

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MINDY DIEUMINH TRINH
Credential	:
Telephone Number	:	408-238-9696

Provider Enumeration Date	:	04/03/2008
Last Update Date	:	02/08/2012

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