# EVOLUTION HOLISTIC MEDICAL GROUP - LOS ANGELES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evolution Holistic Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447641824
- **Authorized official:** MR. AARON V BULLOCK (VICE SECRETARY)
- **Authorized official phone:** (818) 402-8898

## Contact information

- **Practice address:** 8670 WILSHIRE BLVD, SUITE 204, BEVERLY HILLS, CA 90211-2924
- **Practice address phone:** (800) 821-5422
- **Mailing address:** 269 S BEVERLY DR, 110, BEVERLY HILLS, CA 90212-3851
- **Mailing address phone:** (818) 402-8898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | AC10770 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A72861 | CA | Yes |
| 208D00000X | General Practice Physician | A72861 | CA | — |
| 225100000X | Physical Therapist | PT36165 | CA | — |

## Other

- **Enumeration date:** 02/06/2015
- **Last updated:** 02/06/2015