Organization
TRINITYCARE INFUSION SERVICES
Active
Organization
TRINITYCARE INFUSION SERVICES
Active
Other names
TRINITYCARE INFUSION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
LAINEY KIM (DIRECTOR OF PHARMACY)
(818) 700-5565
Entity
Organization
Contact information
Practice address
9221 CORBIN AVE STE 190, NORTHRIDGE, CA 91324-1600
(818) 700-5565
(818) 407-0991
Mailing address
9221 CORBIN AVE, SUITE 190, NORTHRIDGE, CA 91324-2483
(818) 700-5565
(818) 407-0991
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY46033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972637486
—
CA
01
—
2115689
PK
—
Enumeration date
03/15/2007
Last updated
01/17/2017
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