Provider Demographics
NPI:1952461659
Name:BRUMMOND, TRIA E (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:TRIA
Middle Name:E
Last Name:BRUMMOND
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 380
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2302
Mailing Address - Country:US
Mailing Address - Phone:949-923-3277
Mailing Address - Fax:855-812-5865
Practice Address - Street 1:26922 OSO PKWY
Practice Address - Street 2:SUITE 380
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5800
Practice Address - Country:US
Practice Address - Phone:949-582-5430
Practice Address - Fax:949-348-9513
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2017-09-12
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Provider Licenses
StateLicense IDTaxonomies
CA13994363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant