Doctor Name: | TAMARA LYNN TRZCINSKI |
NPI Number: | 1083924260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | PA21283 |
Business Practice Address: | 2301 E Foothill Blvd Suite 100 Glendora, CA - 917404000 |
Business Phone Number: | 6268523376 |
Business Fax Number: | 6268523375 |
Mailing Address: | 425 S Fair Oaks Ave, PASADENA |
State: | CA |
Postal Code: | 911052632 |
Phone Number: | 6264498873 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2010 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA21283 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |