IndividualActive
Evaggelos Mitrevolis, MD
NPI 1154632990 · Addiction Medicine (Preventive Medicine) Physician · Aliso Viejo, CA
Provider details
- NPI number
- 1154632990
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C164635 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
24552 Pacific Park Dr
Aliso Viejo, CA 92656-3055
Phone: (949) 446-0099
Fax: (949) 606-9297
Approximate (ZIP-level) locationGet directions
Mailing address
174 Firefly
Irvine, CA 92618-8886
Registry dates
- Enumerated
- 2010-06-26
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.