Healthcare Provider Details

I. General information

NPI: 1649710047
Provider Name (Legal Business Name): TRESIS PARTNERS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2017
Last Update Date: 03/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3875 TELEGRAPH RD SUITE J
VENTURA CA
93003-3419
US

IV. Provider business mailing address

6158 MULHOLLAND HWY
HOLLYWOOD CA
90068-1644
US

V. Phone/Fax

Practice location:
  • Phone: 877-208-1999
  • Fax:
Mailing address:
  • Phone: 303-748-3499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. TATUM CORBETT SINGLETARY
Title or Position: PRESIDENT
Credential: CERTIFIED OPERATOR
Phone: 877-208-1999