| Trinity Medical Care | |
|
3650 South St Ste 110 Lakewood CA 90712-1534 | |
| (562) 531-6140 | |
| (562) 531-7404 |
| Full Name | Trinity Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 3650 South St Ste 110, Lakewood, California |
| Authorized Official Name and Position | Sam Abdelemelek (OWNER) |
| Authorized Official Contact | 5623101795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Care 5200 Clark Ave Unit 768 Lakewood CA 90714-7037 Ph: (562) 531-6140 | Trinity Medical Care 3650 South St Ste 110 Lakewood CA 90712-1534 Ph: (562) 531-6140 |
| NPI Number | 1992271597 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 10/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992271597 | NPI | - | NPPES |
| 1649414855 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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