Individual
MR. DUNG XUAN DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1569 LEXANN AVE, SUITE 120, SAN JOSE, CA 95121-1794
(408) 270-4267
(408) 270-3594
Mailing address
1569 LEXANN AVE, SUITE 120, SAN JOSE, CA 95121-1794
(408) 270-4267
(408) 270-3594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15212
CA
363AS0400X
Surgical Physician Assistant
1042295
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100169561
—
CA
Enumeration date
11/17/2017
Last updated
03/07/2023
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