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Organization
TRINA HEALTH OF NEWPORT BEACH PC
Active
Organization
TRINA HEALTH OF NEWPORT BEACH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANE WALLACE (CREDENTIALING SPECIALIST)
(916) 550-1050
Entity
Organization
Contact information
Practice address
1525 SUPERIOR AVE, SUITE 214, NEWPORT BEACH, CA 92663-3639
(949) 722-7902
(949) 772-7903
Mailing address
1525 SUPERIOR AVE, SUITE 214, NEWPORT BEACH, CA 92663-3639
(949) 722-7902
(949) 772-7903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/19/2017
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