Individual
ROBERT TRIFUNOVIC
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
488 E. VALLEY PARKWAY, SUITE 311, ESCONDIDO, CA 92025-3373
(760) 233-1896
(760) 233-1899
Mailing address
488 E. VALLEY PARKWAY, SUITE 311, ESCONDIDO, CA 92025-3373
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G65362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G653620
BLUE SHIELD
CA
05
—
00G653620
—
CA
Enumeration date
06/15/2006
Last updated
07/08/2007
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