Evolution Holistic Medical Group - Los Angeles, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A72861 Issued in CA

Legal business name

EVOLUTION HOLISTIC MEDICAL GROUP - LOS ANGELES, INC.

Doing business as

Evolution Holistic Healthcare

Practice address

8670 Wilshire Blvd
Suite 204
Beverly Hills, CA 90211-2924

Phone

(800) 821-5422

NPI assigned

Feb 6, 2015

Last updated

Feb 6, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Aaron V Bullock

Title

Vice Secretary

Phone

(818) 402-8898

Specialties & licenses 5

Addresses

Other names 1

• Evolution Holistic Healthcare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1447641824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S BEVERLY DR",
            "address_2": "110",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123851",
            "telephone_number": "818-402-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD",
            "address_2": "SUITE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112924",
            "telephone_number": "800-821-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION HOLISTIC MEDICAL GROUP - LOS ANGELES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VICE SECRETARY",
        "authorized_official_telephone_number": "818-402-8898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10770",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A72861",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A72861",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolution Holistic Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis W Evangelatos, M.D.
• Matthew Allen Evans, DNP, APRN, FNP-BC
• Andrew C Everett, PT, ATC, CSCS
• Evergreen Fund (Red Door Life)
• Evolution Holistic Healthcare, Incorporated (Evolution, Inc)
• Evolutionary Motion Physical Therapy and Wellness, Inc.
• Expedite Medical Billing
• Expert Care Inc
• Eye Surgery Center of Beverly Hills
• Beatrice Ezrapour

• Orthopaedic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.