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NPI Code Detail

MEDICARE: ISABEL DETRINIDAD

MEDICARE:   ISABEL  DETRINIDAD
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
1172V00000XCommunity Health Worker
2174400000XSpecialist
3373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1942692215
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEL DETRINIDAD
Provider Business Mailing Address
First Line : 700 AIRPORT BLVD STE 495
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-1945
Country : US
Telephone Number : 650-517-8220
Fax Number : 650-517-8239
Provider Business Practice Location Address
First Line : 700 AIRPORT BLVD STE 495
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-1945
Country : US
Telephone Number : 650-517-8220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 08/20/2025

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Directions to “ ISABEL DETRINIDAD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.