Provider Demographics
NPI:1023209038
Name:TRINH, MANN (OD)
Entity Type:Individual
Prefix:DR
First Name:MANN
Middle Name:
Last Name:TRINH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 HAMPSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2408
Mailing Address - Country:US
Mailing Address - Phone:805-495-4625
Mailing Address - Fax:805-496-2020
Practice Address - Street 1:277 HAMPSHIRE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2408
Practice Address - Country:US
Practice Address - Phone:805-495-4625
Practice Address - Fax:805-496-2020
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13284152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACW869YMedicare PIN
CACW869ZMedicare PIN