Provider Demographics
NPI:1730910191
Name:DINH, MINHSANG JACQUELINE (DPT)
Entity type:Individual
Prefix:
First Name:MINHSANG
Middle Name:JACQUELINE
Last Name:DINH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 E LA PALMA AVE APT 130
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-2148
Mailing Address - Country:US
Mailing Address - Phone:209-623-3778
Mailing Address - Fax:
Practice Address - Street 1:805 AEROVISTA PL STE 104
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-7921
Practice Address - Country:US
Practice Address - Phone:805-543-7771
Practice Address - Fax:805-543-7761
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306617225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist