Provider Demographics
NPI:1558836999
Name:TRINIDAD, EARL SCOTT (RN, FNP)
Entity Type:Individual
Prefix:MR
First Name:EARL
Middle Name:SCOTT
Last Name:TRINIDAD
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Gender:M
Credentials:RN, FNP
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Mailing Address - Street 1:1550 SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-3653
Mailing Address - Country:US
Mailing Address - Phone:949-270-2100
Mailing Address - Fax:949-650-4458
Practice Address - Street 1:27725 SANTA MARGARITA PKWY STE 101
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6706
Practice Address - Country:US
Practice Address - Phone:949-270-2100
Practice Address - Fax:949-650-4458
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2019-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CANP95009813207Q00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine