Provider Demographics
NPI:1568104156
Name:TRINITY FRANCIS MEDICAL RESPITE, INC.
Entity Type:Organization
Organization Name:TRINITY FRANCIS MEDICAL RESPITE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CYNTHIA
Authorized Official - Last Name:PUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-804-0822
Mailing Address - Street 1:1223 S ALVARADO ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-4119
Mailing Address - Country:US
Mailing Address - Phone:818-804-0822
Mailing Address - Fax:
Practice Address - Street 1:1223 S ALVARADO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-4119
Practice Address - Country:US
Practice Address - Phone:818-804-0822
Practice Address - Fax:818-688-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health