MEDICARE: TERRENCE K TRAPP MD

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	207Y00000X	Otolaryngology Physician	G52845	CA

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

General Provider Information

NPI Number	:	1841364031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRENCE K TRAPP MD

Provider Business Mailing Address
First Line	:	1095 LOS PALOS DRIVE
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-3916
Country	:	US
Telephone Number	:	831-775-0205
Fax Number	:	831-775-0206

Provider Business Practice Location Address
First Line	:	1095 LOS PALOS DRIVE
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-3916
Country	:	US
Telephone Number	:	831-775-0205
Fax Number	:	831-775-0206

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	10/04/2007

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