Provider Demographics
NPI:1023180379
Name:HOANG N. TRINH, M.D., INC
Entity Type:Organization
Organization Name:HOANG N. TRINH, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGELOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-487-6000
Mailing Address - Street 1:33077 ALVARADO NILES RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3109
Mailing Address - Country:US
Mailing Address - Phone:510-487-6000
Mailing Address - Fax:510-675-0846
Practice Address - Street 1:33077 ALVARADO NILES RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3109
Practice Address - Country:US
Practice Address - Phone:510-487-6000
Practice Address - Fax:510-675-0846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80075207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7471693OtherAETNA
CA00A800750Medicaid
CAZZZ66028ZOtherBLUE SHIELD
CAZZZ03271ZMedicare ID - Type Unspecified
CAZZZ66028ZOtherBLUE SHIELD