Provider Demographics
NPI:1427274638
Name:YOGESH TREHAN MD INC
Entity type:Organization
Organization Name:YOGESH TREHAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:
Authorized Official - Last Name:TREHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-516-4488
Mailing Address - Street 1:PO BOX 1627
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-3627
Mailing Address - Country:US
Mailing Address - Phone:925-516-4488
Mailing Address - Fax:925-516-4545
Practice Address - Street 1:100 CORTONA WAY
Practice Address - Street 2:SUITE 140
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-3627
Practice Address - Country:US
Practice Address - Phone:925-516-4488
Practice Address - Fax:925-516-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67477207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG90639Medicare UPIN
CA00A67477Medicare ID - Type UnspecifiedINDIVIDUAL MCR NUMBER
CAZZZ23276ZMedicare ID - Type UnspecifiedGROUP MCR NUMBER