Organization
PETRECCIA AND TROTTER MEDICAL CORPORATION
Active
Other names
Infectious Disease Consultants Med. Office, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL A. TROTTER M.D. (PRESIDENT)
(714) 996-6500
Entity
Organization
Contact information
Practice address
1275 N. ROSE DRIVE, SUITE 134, PLACENTIA, CA 92870-3919
(714) 996-6500
(714) 996-1722
Mailing address
1275 N. ROSE DRIVE, SUITE 134, PLACENTIA, CA 92870-3919
(714) 996-6500
(714) 996-1722
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G65207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0048130
—
CA
01
—
W15729
PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/22/2006
Last updated
11/04/2019
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