Organization
ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
Active
Organization
ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
Active
Parent organization
ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
Other names
EVERGREEN WELLNESS CENTER, Evergreen Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
Authorized official
CHERYL ANDERS (SECRETARY)
(661) 587-0700
Entity
Organization
Contact information
Practice address
302 N MONTGOMERY ST, OJAI, CA 93023-2746
(661) 587-0700
Mailing address
302 N MONTGOMERY ST, OJAI, CA 93023-2746
(661) 587-0700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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