Provider Demographics
NPI:1730156027
Name:DINH, NGON HOANG (DO)
Entity type:Individual
Prefix:MR
First Name:NGON
Middle Name:HOANG
Last Name:DINH
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:702 E SANTA CLARA ST
Mailing Address - Street 2:STE 2
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1919
Mailing Address - Country:US
Mailing Address - Phone:408-279-6700
Mailing Address - Fax:408-279-6760
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 290
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1587
Practice Address - Country:US
Practice Address - Phone:408-251-9700
Practice Address - Fax:408-251-9799
Is Sole Proprietor?:No
Enumeration Date:2006-03-05
Last Update Date:2020-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6290207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX62900Medicaid
CAF66059Medicare UPIN
CA020A62900Medicare PIN