Provider Demographics
NPI:1093763484
Name:TRINH, HOI (MD)
Entity Type:Individual
Prefix:
First Name:HOI
Middle Name:
Last Name:TRINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HOI
Other - Middle Name:
Other - Last Name:TRINH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6590 STOCKTON BLVD
Mailing Address - Street 2:100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-1612
Mailing Address - Country:US
Mailing Address - Phone:916-421-7720
Mailing Address - Fax:916-421-2622
Practice Address - Street 1:6590 STOCKTON BLVD
Practice Address - Street 2:100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-421-7720
Practice Address - Fax:916-421-2622
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF72402Medicare UPIN