Trinity Diagnostic Medical Group

NPI #1063816874 in Tarzana, California

Provider Information

NPI Number: 1063816874
Entity Type: Organization
Organization Name: Trinity Diagnostic Medical Group
Primary Specialty: Specialist
Enumeration Date: Oct 22, 2014
Last Updated: Oct 22, 2014

Practice Location

Address: 19528 VENTURA BLVD
Address 2: SUITE 155
City: Tarzana
State: California
ZIP Code: 91356-2917
Phone: (818) 655-0185

Authorized Official

Name: DR. RAFAEL RODRIGUEZ, M.D.
Title: OWNER
Phone: (818) 655-0185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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