Provider Demographics
NPI:1023577988
Name:TRELOAR, JOSHUA ALAN (MD, MBA)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ALAN
Last Name:TRELOAR
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Gender:M
Credentials:MD, MBA
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Other - Credentials:
Mailing Address - Street 1:1540 ALCAZAR ST STE 207
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-724-4133
Practice Address - Fax:617-643-7941
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA182442207X00000X
MA1018425207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery