Individual provider · Type 1 NPI

Kenny B. Trinidad, PAC

Medical Physician Assistant · Pasadena, CA

NPI number 1417088469 Active

Practice location

1845 N Fair Oaks Ave
Pasadena, CA 91103-1620

Call (626) 744-6049 Map

Fax (626) 396-7315

Mailing address

11500 Odessa Avenue
Granada Hills, CA 91344

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA17997 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1417088469

Kenny B. Trinidad, PAC's National Provider Identifier is 1417088469, issued on Mar 8, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pasadena, CA. The record was last updated on Apr 10, 2008.