Iwai, Dina
Iwai, Dina is an individual health care provider with primary practice located at 455 S Main St , Orange CA 92868-3835. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Iwai, Dina can be contacted via phone (714) 289-4511.Contact Information
Primary practice address
455 S Main St
Orange CA 92868-3835
Phone: (714) 289-4511
Fax: (714) 289-4788
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | A71762 | California |
Profile Details
NPI number | 1164516944 |
---|---|
LBN Legal business name | Iwai, Dina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164516944 | NPPES |
California | MEDICAID | 00A717620 |
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