Provider Demographics
NPI:1114154556
Name:TRINH, CHINH DUC (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINH
Middle Name:DUC
Last Name:TRINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12701 SHALLOW WATER CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-6500
Mailing Address - Country:US
Mailing Address - Phone:661-588-9429
Mailing Address - Fax:661-588-9429
Practice Address - Street 1:12701 SHALLOW WATER CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-6500
Practice Address - Country:US
Practice Address - Phone:661-588-9429
Practice Address - Fax:661-588-9429
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC503752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF38198Medicare UPIN
CA00C503750Medicare PIN