Trail, Monica Joan
Trail, Monica Joan is an individual health care provider with primary practice located at 19950 Rinaldi St , Porter Ranch CA 91326-4141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Trail, Monica Joan can be contacted via phone (818) 403-2450.Contact Information
Primary practice address
19950 Rinaldi St
Porter Ranch CA 91326-4141
Phone: (818) 403-2450
Fax: (818) 363-9815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD.025872 | Louisiana |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A111384 | California |
Profile Details
| NPI number | 1619058542 |
|---|---|
| LBN Legal business name | Trail, Monica Joan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Apr 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619058542 | NPPES |
| Louisiana | MEDICAID | 1048208 | |
| Louisiana | MEDICAID | 00A1113840 |
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