Basic Information
| Provider Information | |||||||||
| NPI: | 1518433457 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TRIAS GLOBAL, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3501 JAMBOREE RD STE 1250 | ||||||||
| Address2: | |||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926602939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9499887888 | ||||||||
| FaxNumber: | 9499887889 | ||||||||
| Practice Location | |||||||||
| Address1: | 3501 JAMBOREE RD STE 1250 | ||||||||
| Address2: | |||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926602939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9499887888 | ||||||||
| FaxNumber: | 9499887889 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2018 | ||||||||
| LastUpdateDate: | 10/18/2018 | ||||||||
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| AuthorizedOfficialLastName: | BRAY | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9499887888 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0117X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine |
No ID Information.