Provider Demographics
NPI:1710225396
Name:TRINIDAD, MONICA G (MD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:G
Last Name:TRINIDAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18965 GOLD HILL DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4107
Mailing Address - Country:US
Mailing Address - Phone:626-964-5077
Mailing Address - Fax:626-964-5077
Practice Address - Street 1:18965 GOLD HILL DR
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4107
Practice Address - Country:US
Practice Address - Phone:626-964-5077
Practice Address - Fax:626-964-5077
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36666208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics