Provider Demographics
NPI:1285043703
Name:MYLINH TRINH MD INC
Entity Type:Organization
Organization Name:MYLINH TRINH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MY-LINH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-207-5621
Mailing Address - Street 1:9143 VALLEY BLVD
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1991
Mailing Address - Country:US
Mailing Address - Phone:913-207-5621
Mailing Address - Fax:
Practice Address - Street 1:9143 VALLEY BLVD
Practice Address - Street 2:#201A
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1992
Practice Address - Country:US
Practice Address - Phone:626-872-0657
Practice Address - Fax:626-470-9736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA127452261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFT2045614OtherDEA