# TRESSES ETC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992005359
- **Authorized official:** MR. RYAN MICHAEL TYISKA (PARTNER)
- **Authorized official phone:** (213) 219-5202

## Contact information

- **Practice address:** 5740 KIYOT WAY, PLAYA VISTA, CA 90094-2102
- **Practice address phone:** (213) 219-5202
- **Mailing address:** 5740 KIYOT WAY, PLAYA VISTA, CA 90094-2102
- **Mailing address phone:** (213) 219-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2010
- **Last updated:** 11/01/2010