Evergreen International Group, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EVERGREEN INTERNATIONAL GROUP, LLC

Practice address

1937 Pontius Ave
Los Angeles, CA 90025-5611

Phone

(310) 889-9929

Fax

(310) 889-9939

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Jenq Horng Chen

Title

Chairman

Phone

(310) 889-9929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1891266904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 PONTIUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255611",
            "telephone_number": "310-889-9929",
            "fax_number": "310-889-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 PONTIUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255611",
            "telephone_number": "310-889-9929",
            "fax_number": "310-889-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN INTERNATIONAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JENQ HORNG",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "310-889-9929"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jihan A Everett, M.S. CCC-SLP
• John M Everett, CRNA
• Marcia Lynn Everett, R.D.
• Evergreen Fund
• Evergreen Home Care & Hospice Inc
• Evergreen Psychology New York P.C.
• Evergreen RX Inc
• Evergreen Wellness Center Inc.
• Matthew William Everhart, LCSW, MSW
• Everheal Medical Apc

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.