Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN MICHAEL TREVIS
Active Sole ProprietorETHAN MICHAEL TREVIS is a Adolescent and Children Mental Health Clinic healthcare provider located in DOWNEY, California. NPI 1205119286 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · DOWNEY, CA
Registration Details
- NPI Number
- 1205119286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2011 (14.837823771293 yrs)
- Last Updated
- Feb 9, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
10927 DOWNEY AVEDOWNEY, CA, 902413739Browse CA providers · Browse ZIP 90241
- Phone
- 5628699770
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.