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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619058542 NPPES
Louisiana MEDICAID 1048208
Louisiana MEDICAID 00A1113840

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