Organization
TRINA HEALTH OF NORTHERN CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAITH A DE BONILLA (CREDENTIALING SPECIALIST)
(916) 226-3736
Entity
Organization
Contact information
Practice address
4441 AUBURN BLVD, SUITE J, SACRAMENTO, CA 95841-4139
(916) 226-3736
Mailing address
4441 AUBURN BLVD, SUITE J, SACRAMENTO, CA 95841-4139
(916) 226-3736
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
05/24/2017
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