Healthcare Provider Details

I. General information

NPI: 1720817497
Provider Name (Legal Business Name): TRIAS HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 S BUENA VISTA ST STE 150
BURBANK CA
91505-4522
US

IV. Provider business mailing address

1903 PARKVIEW DR
ALHAMBRA CA
91803-2615
US

V. Phone/Fax

Practice location:
  • Phone: 818-295-5920
  • Fax:
Mailing address:
  • Phone: 323-899-9450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGIE ANDREINA TRIAS SANCHEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 323-899-9450