MEDICARE: DR. CRISTINA T. TRINH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11320T	CA

General Provider Information

NPI Number	:	1609901289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRISTINA T. TRINH O.D.

Provider Business Mailing Address
First Line	:	320 W EL CAMINO REAL
Second Line	:	STE B-1
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-1306
Country	:	US
Telephone Number	:	408-227-2297
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 W EL CAMINO REAL
Second Line	:	SUITE B1
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-1306
Country	:	US
Telephone Number	:	408-245-5725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	03/21/2018

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