Healthcare Provider Details

I. General information

NPI: 1992996243
Provider Name (Legal Business Name): TRLSM GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23101 SHERMAN PL UNIT 101
WEST HILLS CA
91307-2003
US

IV. Provider business mailing address

23101 SHERMAN PL UNIT 101
WEST HILLS CA
91307-2003
US

V. Phone/Fax

Practice location:
  • Phone: 818-340-0212
  • Fax: 818-340-0218
Mailing address:
  • Phone: 818-340-0212
  • Fax: 818-340-0218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY48673
License Number StateCA

VIII. Authorized Official

Name: KELLY ANH TRAN
Title or Position: AUTHORIZED OFFICAL
Credential:
Phone: 818-340-0212