Organization
TRINA HEALTH, LLC
Active
Organization
TRINA HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH A ROEDIGER DE BONILLA (CREDENTIALING/CONTRACTING SPECIALIS)
(916) 226-3736
Entity
Organization
Contact information
Practice address
4441 AUBURN BLVD, J, SACRAMENTO, CA 95841
(916) 550-1050
(916) 550-1238
Mailing address
5112 BAILEY LOOP, MCCLELLAN, CA 95652-2519
(916) 550-1050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A33983
LICENCE
CA
Enumeration date
03/02/2012
Last updated
12/12/2017
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