Individual
MONICA JOAN TRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
19950 RINALDI ST, PORTER RANCH, CA 91326-4141
(818) 403-2450
(818) 363-9815
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5691
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A111384
CA
207N00000X
Dermatology Physician
MD.025872
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1113840
—
CA
05
—
1048208
—
LA
Enumeration date
10/18/2006
Last updated
04/03/2014
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