KENNY B TRINIDAD

PASADENA, CA
NPI1417088469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA17997)
Enumeration Date2007-03-08
Last Update Date2008-04-10
Business Address
-- KENNY B TRINIDAD PAC
1845 N FAIR OAKS AVE
PASADENA, CA 91103-1620
Phone number: 626-744-6049
Mailing Address
-- KENNY B TRINIDAD PAC
11500 ODESSA AVENUE
GRANADA HILLS, CA 91344
Phone number: