Organization
RICHARD J TREVINO MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA TRAN (OPERATIONS MANAGER)
(408) 926-5300
Entity
Organization
Contact information
Practice address
227 N JACKSON AVE STE I-205, SAN JOSE, CA 95116-1603
(408) 926-5300
(408) 926-5395
Mailing address
227 N JACKSON AVE STE 235, SAN JOSE, CA 95116-1603
(408) 926-5300
(408) 926-5395
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C29426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C29460
—
CA
Enumeration date
09/12/2006
Last updated
04/05/2022
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