Healthcare Provider Details

I. General information

NPI: 1164834495
Provider Name (Legal Business Name): TRISTAR MEDICAL INDUSTRIAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 05/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N TUSTIN AVE STE 201
SANTA ANA CA
92705-6506
US

IV. Provider business mailing address

999 N TUSTIN AVE STE 201
SANTA ANA CA
92705-6506
US

V. Phone/Fax

Practice location:
  • Phone: 714-975-7950
  • Fax:
Mailing address:
  • Phone: 714-975-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL BARRI
Title or Position: CEO
Credential:
Phone: 714-975-7950