Individual
KENNY B TRINIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1845 N FAIR OAKS AVE, PASADENA, CA 91103-1620
(626) 744-6049
(626) 396-7315
Mailing address
11500 ODESSA AVENUE, GRANADA HILLS, CA 91344
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17997
CA
Other
Enumeration date
03/08/2007
Last updated
04/10/2008
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