Provider Demographics
NPI:1154662542
Name:TRI STAR MEDICAL GROUP & REHAB
Entity Type:Organization
Organization Name:TRI STAR MEDICAL GROUP & REHAB
Other - Org Name:TRI STAR ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-684-1888
Mailing Address - Street 1:7007 WASHINGTON AVE
Mailing Address - Street 2:STE. # 240
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1484
Mailing Address - Country:US
Mailing Address - Phone:562-684-1888
Mailing Address - Fax:562-684-1889
Practice Address - Street 1:1440 E 1ST ST
Practice Address - Street 2:STE. #100
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-6384
Practice Address - Country:US
Practice Address - Phone:714-786-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG477422081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty