| Evolve Healthcare | |
|
20301 Ventura Blvd Suite 210 Woodland Hills CA 91364-2447 | |
| (818) 981-0080 | |
| Not Available |
| Full Name | Evolve Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 20301 Ventura Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Igor Gary Shlifer (PRESIDENT) |
| Authorized Official Contact | 8183464300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Healthcare 20301 Ventura Blvd Suite 210 Woodland Hills CA 91364-2447 Ph: (818) 981-0080 | Evolve Healthcare 20301 Ventura Blvd Suite 210 Woodland Hills CA 91364-2447 Ph: (818) 981-0080 |
| NPI Number | 1043761166 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 1557644911 |
|---|---|
| Medicare Enrollment ID | O20170208002369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043761166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 20A14715 (California) | Primary |
| Provider Name | Igor Gary Shlifer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295174860 PECOS PAC ID: 0042451320 Enrollment ID: I20160817001772 |
| Provider Name | Christopher Dan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285051334 PECOS PAC ID: 4688966831 Enrollment ID: I20230821000835 |
| Provider Name | Katsiaryna Maroz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891483988 PECOS PAC ID: 7012361108 Enrollment ID: I20230922002369 |
| Provider Name | Brianna Lynn Jones-estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538895776 PECOS PAC ID: 4981058708 Enrollment ID: I20230928000581 |
Hamid Mirshojae Do Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19825 Ventura Blvd, Woodland Hills, CA 91364 Phone: 818-340-3639 Fax: 818-340-9241 | |
Dr.kay Heals Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5007 Rigoletto St, Woodland Hills, CA 91364 Phone: 818-854-6377 Fax: 818-366-7078 | |
Motion Picture And Television Fund Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23388 Mulholland Dr, Mailstop 270, Woodland Hills, CA 91364 Phone: 818-876-1050 | |
Lightstream Health L L C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20969 Ventura Blvd Ste 229, Woodland Hills, CA 91364 Phone: 414-217-3847 | |
Motion Picture And Television Fund Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23388 Mulholland Dr, Mailstop 22, Woodland Hills, CA 91364 Phone: 818-876-1636 | |
Kirti Talole Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6301 Glade Ave, K213, Woodland Hills, CA 91367 Phone: 818-852-9320 Fax: 818-350-1105 |