Provider Information for 1952508244
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JONATHAN D TROST MFT
Sex: Male
NPI: 1952508244
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1952508244 | ||||||||
| Enumeration Date | 2007-06-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 393 E WALNUT ST 3RD FLOOR - PHR SYSTEMS PASADENA, CA 91188-0001 United States Phone: 626-405-7914 | Fax:626-405-6768 | ||||||||
| Primary Practice Address | 411 N LAKEVIEW AVE ANAHEIM, CA 92807-3028 United States Phone: 888-988-2800 | Fax:626-405-6768 | ||||||||
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