Provider Demographics
NPI:1184057465
Name:TRINH, CATHY CHI (PHARMD)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:CHI
Last Name:TRINH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-3827
Mailing Address - Country:US
Mailing Address - Phone:310-640-2715
Mailing Address - Fax:310-640-0804
Practice Address - Street 1:220 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-3827
Practice Address - Country:US
Practice Address - Phone:310-640-2715
Practice Address - Fax:310-640-0804
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist