Provider Demographics
NPI:1689746927
Name:TRINH, HOANG NHU (MD)
Entity Type:Individual
Prefix:
First Name:HOANG
Middle Name:NHU
Last Name:TRINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33077 ALVARADO NILES RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3109
Mailing Address - Country:US
Mailing Address - Phone:510-487-6000
Mailing Address - Fax:510-675-0846
Practice Address - Street 1:33077 ALVARADO NILES RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3109
Practice Address - Country:US
Practice Address - Phone:510-487-6000
Practice Address - Fax:510-675-0846
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80075207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A800750Medicaid
CA7471693OtherAETNA
CAZZZ66028ZOtherBLUE SHIELD
CAZZZ03271ZMedicare ID - Type Unspecified
CA00A800750Medicaid