Evergreen Wellness Center Inc.

NPI 1023295276 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1023295276
Enumeration Date 01/29/2008
Last Updated 01/29/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JOAN JOAN
Position PRESIDENT
Phone (323) 244-1985
Fax (323) 913-0714
Practice Location
1501 COLORADO BLVD
LOS ANGELES CA, 90041-1424, US
Phone (323) 244-1985
Fax (323) 913-0714
Business Location
2254 HIDALGO AVE
LOS ANGELES CA, 90039-3632, US
Phone (323) 244-1985
Fax (323) 913-0714
Toxanomy
Taxonomy Code 302R00000X
License State California
License Number AC9278
Remove 1023295276 NPI Number
 

According to our database, Evergreen Wellness Center Inc. NPI is 1023295276, taxonomy code is 302R00000X and license number is AC9278, license state is located at California. Evergreen Wellness Center Inc. physically located at 1501 Colorado Blvd, Los Angeles CA, 90041-1424. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023295276 NPI number is provided on an as is basis without warranty of any kind. 1023295276 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Wellness Center Inc. are for informational purposes only.