Organization
LYNN DIMINO MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN DIMINO MD (PHYSICIAN)
(949) 721-8300
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR, SUITE 603, NEWPORT BEACH, CA 92660-7853
(949) 721-8300
(949) 721-8833
Mailing address
360 SAN MIGUEL DR, SUITE 603, NEWPORT BEACH, CA 92660-7853
(949) 721-8300
(949) 721-8833
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G71777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609072446
MEDICARE, BLUE SHIELD
CA
01
—
1699724542
ALL OTHER INSURANCES
CA
Enumeration date
06/26/2007
Last updated
12/28/2007
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