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General NPI Number Information
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NPI Number | 1275117004
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Entity Type | Individual
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Provider Name | KHOI TRINH
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Gender | Male
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 10222 WESTMINSTER AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4830
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Country | US
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Telephone | 714-539-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 11762 MORRIE LN
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City | GARDEN GROVE
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State | CA
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Zip | 92840-1907
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Country | US
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Telephone | 714-590-4210
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A21321
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License Number State | CA
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