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NPI Code Detail

MEDICARE: DR. RENE JOUVANNI TRABANINO M.D.

MEDICARE:  DR. RENE JOUVANNI TRABANINO  M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianA101324CA

General Provider Information

NPI Number : 1700086337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RENE JOUVANNI TRABANINO M.D.
Provider Business Mailing Address
First Line : 2550 WEST MAIN ST., SUITE 301
Second Line :
City : ALHAMBRA
State : CA
Zip : 91801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1414 S GRAND AVE STE 380
Second Line :
City : LOS ANGELES
State : CA
Zip : 90015-3072
Country : US
Telephone Number : 213-222-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2007
Last Update Date : 12/20/2023

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Directions to “ DR. RENE JOUVANNI TRABANINO M.D.” Practice Location

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