Individual
THAO DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 E 2ND AVE, ESCONDIDO, CA 92025-4249
(760) 291-6700
(760) 737-7324
Mailing address
225 E 2ND AVE, ESCONDIDO, CA 92025-4249
(760) 291-6700
(760) 737-7324
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14680
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14680
LICENSE NUMBER
CA
Enumeration date
10/02/2006
Last updated
12/12/2024
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