MEDICARE: DR. PAUL TRENTALANGE D.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
1	111N00000X	Chiropractor	DC 19345	CA

General Provider Information

NPI Number	:	1861714313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL TRENTALANGE D.C.

Provider Business Mailing Address
First Line	:	5995 MISSION GORGE RD.
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120
Country	:	US
Telephone Number	:	619-922-5064
Fax Number	:	619-584-8101

Provider Business Practice Location Address
First Line	:	5995 MISSION GORGE RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-4028
Country	:	US
Telephone Number	:	619-922-5064
Fax Number	:	619-584-8101

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

Provider Enumeration Date	:	02/25/2010
Last Update Date	:	02/25/2010

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Directions to “ DR. PAUL TRENTALANGE D.C.” Practice Location

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