Provider Demographics
NPI:1679171086
Name:TRISEC INC
Entity type:Organization
Organization Name:TRISEC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER-TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LUM LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-927-3484
Mailing Address - Street 1:1658 LIHOLIHO ST APT 302
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2968
Mailing Address - Country:US
Mailing Address - Phone:808-927-3484
Mailing Address - Fax:
Practice Address - Street 1:1658 LIHOLIHO ST APT 302
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2968
Practice Address - Country:US
Practice Address - Phone:808-927-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service