Provider Demographics
NPI:1073973806
Name:TRIEBEL, FEDERICO
Entity Type:Individual
Prefix:MR
First Name:FEDERICO
Middle Name:
Last Name:TRIEBEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22036 COLLINS ST, SUITE 320
Mailing Address - Street 2:
Mailing Address - City:WOODLANDS HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:91367-4722
Mailing Address - Country:US
Mailing Address - Phone:818-425-2211
Mailing Address - Fax:
Practice Address - Street 1:22036 COLLINS ST APT 320
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-4756
Practice Address - Country:US
Practice Address - Phone:818-425-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications