Provider Demographics
NPI:1255166864
Name:DINH, CAT VAN
Entity type:Individual
Prefix:
First Name:CAT
Middle Name:VAN
Last Name:DINH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VAN
Other - Middle Name:CAT
Other - Last Name:DINH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:995 GATEWAY CENTER WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-4550
Mailing Address - Country:US
Mailing Address - Phone:619-772-2579
Mailing Address - Fax:
Practice Address - Street 1:995 GATEWAY CENTER WAY STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-4550
Practice Address - Country:US
Practice Address - Phone:619-772-2579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program