Evolved, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EVOLVED, INC.

Practice address

10573 W Pico Blvd Unit 414
Los Angeles, CA 90064-2333

Phone

(310) 927-0654

NPI assigned

Dec 3, 2018

Last updated

Dec 3, 2018By 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

Diana Velasco

Title

Ceo

Phone

(310) 927-0654

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1699245654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 W PICO BLVD UNIT 414",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642333",
            "telephone_number": "310-927-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10573 W PICO BLVD UNIT 414",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642333",
            "telephone_number": "310-927-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-927-0654"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolution Counseling Services
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• Evolve Hearing Center,PC
• Evyatar Evron MD Inc
• Stacey L. Ewart
• Mary Ewell, LMFT
• Beatriz Tatiana Ewers
• Gregory James Ewertz, M.D.

• Multi-Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.