Individual
ROME DIOSTONNE EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
16530 VENTURA BLVD STE 400, ENCINO, CA 91436-4551
(818) 625-4814
Mailing address
19525 NORDHOFF ST APT 563, NORTHRIDGE, CA 91324-7427
(818) 625-4814
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95026297
CA
Other
Enumeration date
08/07/2023
Last updated
07/09/2025
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