Basic Information
Provider Information
NPI: 1538349899
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAINER
FirstName: GABRIEL
MiddleName: TOMAS
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2295 S VINEYARD AVE
Address2: DEPARTMENT OF ORTHOPEDICS, BLDG D
City: ONTARIO
State: CA
PostalCode: 917617925
CountryCode: US
TelephoneNumber: 6264053697
FaxNumber: 8775140903
Practice Location
Address1: 2295 S VINEYARD AVE
Address2: DEPARTMENT OF ORTHOPEDICS, BLDG D
City: ONTARIO
State: CA
PostalCode: 917617925
CountryCode: US
TelephoneNumber: 6264053697
FaxNumber: 8775140903
Other Information
ProviderEnumerationDate: 11/05/2007
LastUpdateDate: 11/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0106XA111060CAY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery

No ID Information.


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