Healthcare Provider Details

I. General information

NPI: 1003758616
Provider Name (Legal Business Name): THREE E'S S CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12212 PARAMOUNT BLVD
DOWNEY CA
90242-3537
US

IV. Provider business mailing address

12212 PARAMOUNT BLVD
DOWNEY CA
90242-3537
US

V. Phone/Fax

Practice location:
  • Phone: 562-328-7547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EVELYN VILLARREAL
Title or Position: OWNER
Credential:
Phone: 562-328-7547