Healthcare Provider Details

I. General information

NPI: 1437042389
Provider Name (Legal Business Name): TRINITAS MEDICAL GROUP MD PROF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MAREBLU STE 350
ALISO VIEJO CA
92656-3056
US

IV. Provider business mailing address

27068 LA PAZ RD # 548
ALISO VIEJO CA
92656-3041
US

V. Phone/Fax

Practice location:
  • Phone: 949-767-8834
  • Fax:
Mailing address:
  • Phone: 949-767-8834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH YANNI
Title or Position: PHYSICIAN
Credential: MD
Phone: 949-767-8834