Evan Bogdan, MD is a
Student In An Organized Health Care Education/training Program physician based in Los Angeles, California. Evan Bogdan is licensed to practice in * (Not Available) (license number ) and his current practice location is 4211 Avalon Blvd, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 233-0425.
NPI number for Evan Bogdan is 1285374702 and his current mailing address is 4211 Avalon Blvd, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285374702.
Physician's Profile
Full Name | Evan Bogdan |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4211 Avalon Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285374702
- Provider Enumeration Date: 03/31/2022
- Last Update Date: 06/23/2023
Medical Identifiers
Medical identifiers for Evan Bogdan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285374702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 1285374702 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evan Bogdan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Evan Bogdan, MD 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: () - | Evan Bogdan, MD 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: (323) 233-0425 |
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