Provider Demographics
NPI:1548312333
Name:TROBISCH, JAN HENDRIK (MD)
Entity type:Individual
Prefix:DR
First Name:JAN
Middle Name:HENDRIK
Last Name:TROBISCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4100 EMPIRE DR
Mailing Address - Street 2:SUITE #120
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0410
Mailing Address - Country:US
Mailing Address - Phone:661-878-9100
Mailing Address - Fax:661-878-9101
Practice Address - Street 1:4100 EMPIRE DR
Practice Address - Street 2:SUITE #120
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0410
Practice Address - Country:US
Practice Address - Phone:661-878-9100
Practice Address - Fax:661-878-9101
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2012-12-17
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Provider Licenses
StateLicense IDTaxonomies
CAA83160207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI23812Medicare UPIN