Individual
DR. AMY C TREWELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
277 RANCHEROS DR, SUITE 100, SAN MARCOS, CA 92069-2959
(760) 291-6700
(760) 471-0513
Mailing address
277 RANCHEROS DR, SUITE 100, SAN MARCOS, CA 92069-2959
(760) 291-6700
(760) 471-0513
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
Primary
A99176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A 99176
MEDICAL LICENSE
CA
01
—
GG379Z
MEDICARE PTAN
CA
Enumeration date
01/24/2006
Last updated
08/09/2012
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