Individual
NICHOLAS JEFFREY TRIVISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 LOMITA BLVD STE 200, TORRANCE, CA 90505-3900
(310) 977-2705
(310) 564-2295
Mailing address
13121 MARLETTE DR, LA MIRADA, CA 90638-1907
(562) 756-9555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030444
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/02/2023
Last updated
05/06/2025
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