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NPI Code Detail

MEDICARE: MR. PETER CEDRIC TRAWIN

MEDICARE: MR. PETER CEDRIC TRAWIN
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1124254727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER CEDRIC TRAWIN
Provider Business Mailing Address
First Line : 3095 RICHMOND PKWY
Second Line :
City : RICHMOND
State : CA
Zip : 94806-5773
Country : US
Telephone Number : 510-441-1791
Fax Number :
Provider Business Practice Location Address
First Line : 3095 RICHMOND PKWY STE 201
Second Line :
City : RICHMOND
State : CA
Zip : 94806-5878
Country : US
Telephone Number : 510-441-1791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2009
Last Update Date : 05/19/2025

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Directions to “ MR. PETER CEDRIC TRAWIN ” Practice Location

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