MEDICARE: DR. CAM HANH TRINH PHARM.D., BCPS

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	1835P1200X	Pharmacotherapy Pharmacist	RPH54135	CA

General Provider Information

NPI Number	:	1952386864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAM HANH TRINH PHARM.D., BCPS

Provider Business Mailing Address
First Line	:	2600 REDONDO AVENUE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 REDONDO AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2329
Country	:	US
Telephone Number	:	562-490-3096
Fax Number	:	562-988-7131

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	03/26/2014

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