MEDICARE: TRIAS HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1720817497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIAS HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	1903 PARKVIEW DR
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-2615
Country	:	US
Telephone Number	:	323-899-9450
Fax Number	:

Provider Business Practice Location Address
First Line	:	191 S BUENA VISTA ST STE 150
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4522
Country	:	US
Telephone Number	:	818-295-5920
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANGIE ANDREINA TRIAS SANCHEZ
Credential	:	MD
Telephone Number	:	323-899-9450

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	07/30/2024

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