Provider Demographics
NPI:1811022437
Name:MANES, TRINA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:MARIE
Last Name:MANES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TRINA
Other - Middle Name:MARIE
Other - Last Name:LEMBCKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8042 JUNE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-3115
Mailing Address - Country:US
Mailing Address - Phone:619-463-4002
Mailing Address - Fax:
Practice Address - Street 1:200 W ARBOR DR DEPT 8433
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8433
Practice Address - Country:US
Practice Address - Phone:619-543-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92014207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology