Individual
MS. KIM DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2333 FOOTHILL BLVD STE B, LA VERNE, CA 91750-3027
(909) 392-6501
(909) 469-2136
Mailing address
2333 FOOTHILL BLVD STE B, LA VERNE, CA 91750-3027
(909) 392-6501
(909) 469-2136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
56041
CA
363AM0700X
Medical Physician Assistant
Primary
56041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871060046
—
CA
Enumeration date
10/25/2018
Last updated
02/25/2026
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