Ethan Michael Trevis

Individual provider Adolescent and Children Mental Health Clinic/Center · NPI 1205119286

Ethan Michael Trevis is an Adolescent and Children Mental Health Clinic/Center in Downey, California. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since: 2011

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Practice location Address checks out

10927 Downey Ave
Downey, CA 90241-3739
Phone: (562) 869-9770

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Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary)	Taxonomy 261QM0855X

Record details

NPI number	1205119286
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	September 26, 2011
Last updated in NPPES	February 9, 2021
Certification date	February 9, 2021
Mailing address	10927 Downey Ave Ste C, Downey, CA 90241-3739