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General NPI Number Information
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NPI Number | 1437042389
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Entity Type | Organization
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Legal Business Name | TRINITAS MEDICAL GROUP MD PROF INC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 15 MAREBLU STE 350
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3056
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Country | US
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Telephone | 949-767-8834
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Fax |
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Provider Business Mailing Address
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Address Line | 27068 LA PAZ RD # 548
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3041
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Country | US
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Telephone | 949-767-8834
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ELIZABETH YANNI
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Credential | MD
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Telephone | 949-767-8834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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