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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