Healthcare Provider Details

I. General information

NPI: 1679171086
Provider Name (Legal Business Name): TRISEC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 10/16/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1658 LIHOLIHO ST APT 302
HONOLULU HI
96822-2968
US

IV. Provider business mailing address

1658 LIHOLIHO ST APT 302
HONOLULU HI
96822-2968
US

V. Phone/Fax

Practice location:
  • Phone: 808-927-3484
  • Fax:
Mailing address:
  • Phone: 808-927-3484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER-TRAVIS LUM LEE
Title or Position: PRESIDENT
Credential:
Phone: 808-927-3484