Provider Demographics
NPI:1215957436
Name:TRAINOR, LAUREN M (DO)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:M
Last Name:TRAINOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:18231 IRVINE BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3432
Mailing Address - Country:US
Mailing Address - Phone:714-389-5700
Mailing Address - Fax:714-389-6973
Practice Address - Street 1:6876 KATELLA AVE
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5108
Practice Address - Country:US
Practice Address - Phone:714-903-8900
Practice Address - Fax:714-903-8901
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5396207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020A53960OtherBLUE SHIELD
CA930128598OtherRAILROAD MEDICARE
CA00AX53960Medicaid
CAW20A5396QMedicare ID - Type Unspecified
CAW20A5396PMedicare ID - Type Unspecified
CA00AX53960Medicaid