MEDICARE: DR. DONALD TRIOLO D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	E3211	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	480003710	OTHER	CA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	E3211	OTHER		STATE LICENSE

General Provider Information

NPI Number	:	1003813783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD TRIOLO D.P.M.

Provider Business Mailing Address
First Line	:	6699 ALVARADO RD
Second Line	:	SUITE 2201
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5253
Country	:	US
Telephone Number	:	619-583-8160
Fax Number	:	619-583-8170

Provider Business Practice Location Address
First Line	:	6699 ALVARADO RD
Second Line	:	SUITE 2201
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5253
Country	:	US
Telephone Number	:	619-583-8160
Fax Number	:	619-583-8170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	12/15/2009

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Directions to “ DR. DONALD TRIOLO D.P.M.” Practice Location

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