Marie Chantal Sonia Trinque Courchesne, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A-71915 Issued in CA

Practice address

984 Monument St Ste 203
Pacific Palisades, CA 90272-3859

Phone

(310) 459-0800

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Marie Chantal Sonia Trinque Courchesne Ryan Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palisades Ear Nose Throat and Facial Plastic Specialists a Medic.

  • Otolaryngology Physician
  • Pacific Palisades, CA
  • NPI 1295920825
  Medicare reassignment NPD Authorized official
• Elias Ayoub MD a Professional Corporation

  • Otolaryngology Physician
  • Downey, CA
  • NPI 1588680250
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1962552810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 MONUMENT ST",
            "address_2": "SUITE 203",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723859",
            "telephone_number": "310-459-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 MONUMENT ST STE 203",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723859",
            "telephone_number": "310-459-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Aviation Blvd Ste K",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902544016",
            "country_code": "US",
            "telephone_number": "310-459-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRINQUE COURCHESNE",
        "first_name": "MARIE CHANTAL",
        "middle_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A-71915",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A-71915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE CHANTAL",
            "last_name": "TRINQUE COURCHESNE RYAN",
            "middle_name": "SONIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Anna Tron, LAC
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• Tyler D. Krohn, M.D., Inc.
• UC Regents UCLA Dept of Medicine Prof Group

• Otolaryngology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.