Individual
DINA IWAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 289-4511
(714) 289-4788
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 289-4511
(714) 289-4788
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A71762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A717620
—
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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