Individual
MIKY TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
263 S WEST ST, TULARE, CA 93274-3411
(559) 737-4700
Mailing address
457 SAN GABRIEL DR, SUNNYVALE, TX 75182-4613
(669) 235-0373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61891
CA
363AM0700X
Medical Physician Assistant
Primary
PA61891
CA
363AS0400X
Surgical Physician Assistant
PA61891
CA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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