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Organization
EVOLUTION HOLISTIC MEDICAL GROUP - LOS ANGELES, INC.
Active
Organization
EVOLUTION HOLISTIC MEDICAL GROUP - LOS ANGELES, INC.
Active
Other names
Evolution Holistic Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON V BULLOCK (VICE SECRETARY)
(818) 402-8898
Entity
Organization
Contact information
Practice address
8670 WILSHIRE BLVD, SUITE 204, BEVERLY HILLS, CA 90211-2924
(800) 821-5422
Mailing address
269 S BEVERLY DR, 110, BEVERLY HILLS, CA 90212-3851
(818) 402-8898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
AC10770
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A72861
CA
208D00000X
General Practice Physician
A72861
CA
225100000X
Physical Therapist
PT36165
CA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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