Provider Demographics
NPI:1467843961
Name:HOI TRINH MEDICAL CORPORATION,INC
Entity Type:Organization
Organization Name:HOI TRINH MEDICAL CORPORATION,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-421-7720
Mailing Address - Street 1:6590 STOCKTON BLVD
Mailing Address - Street 2:SUITE 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:SUITE 100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-1612
Practice Address - Country:US
Practice Address - Phone:916-421-7720
Practice Address - Fax:916-421-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51429261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A514290Medicare PIN