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NPI Code Detail

MEDICARE: MR. JOHN PATRICK TRENT PA-C

MEDICARE: MR. JOHN PATRICK TRENT PA-C
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
1363A00000XPhysician Assistant18375CA

General Provider Information

NPI Number : 1598753477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN PATRICK TRENT PA-C
Provider Business Mailing Address
First Line : 1695 FILBERT ST
Second Line : #2
City : SAN FRANCISCO
State : CA
Zip : 94123-3773
Country : US
Telephone Number : 678-557-0552
Fax Number :
Provider Business Practice Location Address
First Line : 795 EL CAMINO REAL
Second Line : URGENT CARE
City : PALO ALTO
State : CA
Zip : 94301-2302
Country : US
Telephone Number : 650-853-4761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 07/08/2007

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Directions to “ MR. JOHN PATRICK TRENT PA-C” Practice Location

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