Individual
EDMUND S EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26401 CROWN VALLEY PKWY, SUITE 101, MISSION VIEJO, CA 92691-6302
(949) 348-4000
Mailing address
26401 CROWN VALLEY PKWY, SUITE 101, MISSION VIEJO, CA 92691-6302
(949) 348-4000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A64745
CA
Other
Enumeration date
04/28/2006
Last updated
03/07/2023
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