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TRESSES ETC NPI 1992005359


NPI Information

NPI: 1992005359
Provider Name: TRESSES ETC
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
5740 KIYOT WAY
PLAYA VISTA, CA
ZIP 90094
Phone: (213) 219-5202
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TRESSES ETC is a recovery care clinic center in Playa Vista, CA. TRESSES ETC NPI is 1992005359. The provider is registered as an organization entity type.

The provider's business location address is:

5740 KIYOT WAY
PLAYA VISTA, CA
ZIP 90094-102
Phone: (213) 219-5202

The provider's authorized official is Ryan Michael Tyiska .
The authorized official title is Partner and has the following contact phone number (213) 219-5202.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 11/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0800XClinic/CenterRecovery CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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