# ENVISTA MEDICAL NECK AND BACK CENTER, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
- **Other names:** EVERGREEN WELLNESS CENTER, Evergreen Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396433975
- **Legal business name:** ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
- **Authorized official:** CHERYL ANDERS (SECRETARY)
- **Authorized official phone:** (661) 587-0700

## Contact information

- **Practice address:** 302 N MONTGOMERY ST, OJAI, CA 93023-2746
- **Practice address phone:** (661) 587-0700
- **Mailing address:** 302 N MONTGOMERY ST, OJAI, CA 93023-2746
- **Mailing address phone:** (661) 587-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/01/2023