Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | A85483 | CA |
N | 2080P0214X | Pediatric Pulmonologist | L7904 | TX |
NPI | 1225019052 |
---|---|
Provider Name | Dr. Elman L. Trias |
First Address | Sacramento, CA 95825-2115 |
Second Address | Sacramento, CA 95825-2115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I04021 | (02) | TX |