Envista Medical Neck and Back Center, P.C.
Organization Active NPI Physical Medicine & Rehabilitation Physician · Ojai, CA
NPI 1396433975 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1396433975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
- Practice address
- 302 N Montgomery St
Ojai, CA 93023-2746 - Phone
- (661) 587-0700
- NPI assigned
- May 1, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
Authorized official
- Name
- Cheryl Anders
- Title
- Secretary
- Phone
- (661) 587-0700
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Envista Medical Neck and Back Center PC
- Part of
- Envista Medical Neck and Back Center PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
302 N Montgomery St
Ojai, CA 93023-2746
Mailing address
302 N Montgomery St
Ojai, CA 93023-2746
Phone (661) 587-0700
Other names
- EVERGREEN WELLNESS CENTER
- Evergreen Wellness
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All providers in Ojai, CA · Physical Medicine & Rehabilitation Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.