Healthcare Provider Details

I. General information

NPI: 1376451211
Provider Name (Legal Business Name): TREZIA DPM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S CENTRAL AVE STE 101
GLENDALE CA
91204-2563
US

IV. Provider business mailing address

1500 S CENTRAL AVE STE 101
GLENDALE CA
91204-2563
US

V. Phone/Fax

Practice location:
  • Phone: 818-638-9799
  • Fax: 818-638-9697
Mailing address:
  • Phone: 818-638-9799
  • Fax: 818-638-9697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MARK TREZIA
Title or Position: PRESIDENT
Credential: DPM
Phone: 818-438-1987