TRIDENT MEDICAL GROUP INC. NPI 1093498230

NPI Details

TRIDENT MEDICAL GROUP INC. is an internal medicine in Apple Valley, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TRIDENT MEDICAL GROUP INC. NPI is 1093498230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18564 US HIGHWAY 18 STE 103&104
APPLE VALLEY, CA
ZIP 92307-312
Phone: (760) 242-9262

The provider's authorized official is Nyra Khetarpal .
The authorized official title is President and has the following contact phone number (484) 557-9511.

The CLIA number assigned to this NPI record is 05D2294635 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2023 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: