Healthcare Provider Details

I. General information

NPI: 1356256390
Provider Name (Legal Business Name): TRICOMB INDUSTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696 S NEW HAMPSHIRE AVE
LOS ANGELES CA
90005-4507
US

IV. Provider business mailing address

3010 WILSHIRE BLVD # 283
LOS ANGELES CA
90010-1103
US

V. Phone/Fax

Practice location:
  • Phone: 302-679-2274
  • Fax:
Mailing address:
  • Phone: 302-679-2274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN TOULSON JR.
Title or Position: OWNER
Credential:
Phone: 302-679-2274