Provider Demographics
NPI:1407413883
Name:TREZIAH HEALTH CARE
Entity Type:Organization
Organization Name:TREZIAH HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:AISHIA
Authorized Official - Middle Name:SHIRINI
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:504-298-5231
Mailing Address - Street 1:1404 CARTIER DR APT B
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-6241
Mailing Address - Country:US
Mailing Address - Phone:469-422-9214
Mailing Address - Fax:
Practice Address - Street 1:1404 CARTIER DR APT B
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-6241
Practice Address - Country:US
Practice Address - Phone:469-422-9214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility