Organization
TRICARE HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRICIA ALYANNA CRUZ PISCASIO (CEO)
(310) 753-9172
Entity
Organization
Contact information
Practice address
8546 CORBIN AVE, NORTHRIDGE, CA 91324-4129
(310) 753-9172
Mailing address
8546 CORBIN AVE, NORTHRIDGE, CA 91324-4129
(310) 753-9172
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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