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 |
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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 |
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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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