Tresses Etc

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

TRESSES ETC

Practice address

5740 Kiyot Way
Playa Vista, CA 90094-2102

Phone

(213) 219-5202

NPI assigned

Nov 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ryan Michael Tyiska

Title

Partner

Phone

(213) 219-5202

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1992005359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 KIYOT WAY",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942102",
            "telephone_number": "213-219-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 KIYOT WAY",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942102",
            "telephone_number": "213-219-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESSES ETC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "TYISKA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "213-219-5202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aaron Michael Willis, DPT

• Recovery Care Clinic/Center in Playa Vista, CA
• Providers in Playa Vista, CA by specialty
• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.