| Organization Name: | TRESSES ETC |
| NPI Number: | 1992005359 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RYAN MICHAEL TYISKA (PARTNER) |
| Mailing Address: | 5740 Kiyot Way Playa Vista |
| State: | CA US |
| Postal Code: | 900942102 |
| Phone Number: | 2132195202 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2010 |
| NPI Last Update Date: | 11/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Recovery Care |
| Taxonomy Definition: | |