| Trinity Medical Group Inc | |
|
600 W I St Ste C Los Banos CA 93635-3460 | |
| (209) 826-5913 | |
| Not Available |
| Full Name | Trinity Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 600 W I St Ste C, Los Banos, California |
| Authorized Official Name and Position | Dennis M Cabangca (CEO) |
| Authorized Official Contact | 2097041189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Group Inc 221 San Lorenzo St Los Banos CA 93635-6458 Ph: (209) 704-1189 | Trinity Medical Group Inc 600 W I St Ste C Los Banos CA 93635-3460 Ph: (209) 826-5913 |
| NPI Number | 1932740511 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 04/01/2020 |
| Medicare PECOS PAC ID | 1355778598 |
|---|---|
| Medicare Enrollment ID | O20200227001056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932740511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Hipolito G Mariano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376685685 PECOS PAC ID: 2062503337 Enrollment ID: I20070801000612 |
| Provider Name | Dennis Mabanag Cabangca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407237670 PECOS PAC ID: 0345599734 Enrollment ID: I20180817001769 |
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