Individual
ANDRE TRAYNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 W ADAMS BLVD, LOS ANGELES, CA 90016-3022
(323) 612-2609
Mailing address
9381 E STOCKTON BLVD STE 214, ELK GROVE, CA 95624-5070
(916) 307-7852
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/09/2024
Last updated
09/03/2025
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