| Evolve Psychiatry, Pc | |
|
300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 | |
| (404) 386-6373 | |
| Not Available |
| Full Name | Evolve Psychiatry, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 300 N Pacific Coast Hwy Ste 2060, El Segundo, California |
| Authorized Official Name and Position | Kenneth F Wood (ASSISTANT SECRETARY) |
| Authorized Official Contact | 4242903341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Psychiatry, Pc 300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 Ph: () - | Evolve Psychiatry, Pc 300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 Ph: (404) 386-6373 |
| NPI Number | 1588289417 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588289417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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