1922386622 NPI number — MS. MARGARET ANN TRIMBLE RDHAP

Table of content: MS. MARGARET ANN TRIMBLE RDHAP (NPI 1922386622)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922386622 NPI number — MS. MARGARET ANN TRIMBLE RDHAP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRIMBLE
Provider First Name:
MARGARET
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RDHAP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TRIMBLE
Provider Other First Name:
PEGGY
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RDHAP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1922386622
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
723 STONEYFORD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALY CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94015-3645
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-994-4489
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
723 STONEYFORD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALY CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94015-3645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-994-4489
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 124Q00000X , with the licence number:  361 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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