| Knott-ball Anaheim Medical Clinic | |
|
3414 W Ball Rd Ste F Anaheim CA 92804-3726 | |
| (714) 761-9137 | |
| Not Available |
| Full Name | Knott-ball Anaheim Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3414 W Ball Rd Ste F, Anaheim, California |
| Authorized Official Name and Position | Chinh Thien Dinh (PRESIDENT) |
| Authorized Official Contact | 7147619137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knott-ball Anaheim Medical Clinic 3414 W Ball Rd Ste F Anaheim CA 92804-3726 Ph: (714) 761-9137 | Knott-ball Anaheim Medical Clinic 3414 W Ball Rd Ste F Anaheim CA 92804-3726 Ph: (714) 761-9137 |
| NPI Number | 1093958464 |
|---|---|
| Provider Enumeration Date | 04/14/2009 |
| Last Update Date | 04/14/2009 |
| Medicare PECOS PAC ID | 5092852269 |
|---|---|
| Medicare Enrollment ID | O20091020000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093958464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A65428 (California) | Primary |
| Provider Name | Chinh T Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639244049 PECOS PAC ID: 9830236009 Enrollment ID: I20091020000495 |
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