Healthcare Provider Details

I. General information

NPI: 1114251956
Provider Name (Legal Business Name): MY-LINH HOANG TRINH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2009
Last Update Date: 10/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9143 VALLEY BLVD SUITE 201A
ROSEMEAD CA
91770-1991
US

IV. Provider business mailing address

9143 VALLEY BLVD SUITE 201A
ROSEMEAD CA
91770-1991
US

V. Phone/Fax

Practice location:
  • Phone: 626-872-0657
  • Fax: 626-470-9736
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA127452
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: