Trident Medical Group Inc.
NPI #1093498230 in Apple Valley, California
Provider Information
- NPI Number
- 1093498230
- Entity Type
- Organization
- Organization Name
- Trident Medical Group Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 14, 2023
- Last Updated
- Mar 5, 2024
Practice Location
- Address
- 18564 US HIGHWAY 18 STE 103&104
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-2312
- Phone
- (760) 242-9262
Authorized Official
- Name
- NYRA KHETARPAL, MD
- Title
- PRESIDENT
- Phone
- (484) 557-9511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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