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General NPI Number Information
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NPI Number | 1124411301
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Entity Type | Organization
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Legal Business Name | TRINA HEALTH OF WEST LOS ANGELES, LLC
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 10700 SANTA MONICA BLVD SUITE 309
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City | LOS ANGELES
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State | CA
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Zip | 90025-4768
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Country | US
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Telephone | 424-328-4600
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Fax | 424-293-2930
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Provider Business Mailing Address
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Address Line | 10700 SANTA MONICA BLVD SUITE 309
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City | LOS ANGELES
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State | CA
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Zip | 90025-4768
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Country | US
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Telephone | 424-328-4600
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Fax | 424-293-2930
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Authorized Official
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Title or Position | OWNER
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Name | QUENTIN KUHL
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Credential |
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Telephone | 424-328-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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