Organization
HEALTH EVALUATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IREY DOLORES HILSMAN (ADMINISTRATOR)
(323) 750-0640
Entity
Organization
Contact information
Practice address
2220 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2514
(323) 750-0640
(323) 777-6446
Mailing address
2220 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2514
(323) 750-0640
(323) 777-6446
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
FNP-3233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP-3233
LICENSE.
CA
05
—
ZZZ80686Z
—
CA
Enumeration date
03/09/2007
Last updated
10/16/2007
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