Basic Information
| Provider Information | |||||||||
| NPI: | 1952657264 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DINH | ||||||||
| FirstName: | TINA | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | RN, BSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 405 W 5TH ST STE 550 | ||||||||
| Address2: | |||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927014599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148344707 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4000 W METROPOLITAN DR STE 401 | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145176353 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2012 | ||||||||
| LastUpdateDate: | 06/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | 812680 | CA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 163WP0809X | 812680 | CA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult | 163W00000X | 812680 | CA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.