Provider Demographics
NPI:1417665035
Name:AARON, TRINYTEI
Entity Type:Individual
Prefix:
First Name:TRINYTEI
Middle Name:
Last Name:AARON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 NISSON RD APT G7
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-5804
Mailing Address - Country:US
Mailing Address - Phone:206-430-3095
Mailing Address - Fax:
Practice Address - Street 1:1602 NISSON RD APT G7
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-5804
Practice Address - Country:US
Practice Address - Phone:206-430-3095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 172A00000X, 174200000X, 174N00000X, 175T00000X, 176B00000X, 177F00000X
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No174200000XOther Service ProvidersMeals
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwife
No177F00000XOther Service ProvidersLodging