Healthcare Provider Details

I. General information

NPI: 1649877846
Provider Name (Legal Business Name): BRIAN JAMES TRAINOR ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2020
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3636 5TH AVE STE 300
SAN DIEGO CA
92103-4230
US

IV. Provider business mailing address

1501 FRONT ST UNIT 302
SAN DIEGO CA
92101-2975
US

V. Phone/Fax

Practice location:
  • Phone: 619-814-5500
  • Fax:
Mailing address:
  • Phone: 518-703-5404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1181
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: