SearchCaliforniaAdolescent and Children Mental Health Clinic/Center

Ethan Trevis

NPI 1205119286 · on the registry since 2011 · sole proprietor

Practice

Address
10927 Downey Ave
Downey, CA 90241
Phone
(562) 869-9770
Organisation at this address
Charles Kodimer Phd Psychological
Mindful Healing Mental Health, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Adolescent and Children Mental Health Clinic/Center
261QM0855X
Sex
Male
Record last updated
2021-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California