Individual
PEARL EVELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T. (MR)(ARRT)
Contact information
Practice address
24331 EL TORO RD, LAGUNA WOODS, CA 92637-2752
(949) 586-3200
Mailing address
14160 RED HILL AVE APT 45, TUSTIN, CA 92780-5855
(714) 310-1676
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1070374
CA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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