Organization
EVOLVE ANTI-AGING & WELLNESS CENTER
Active
Organization
EVOLVE ANTI-AGING & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI ZAGHIKIAN (ADMINISTRATOR)
(818) 606-2459
Entity
Organization
Contact information
Practice address
16500 VENTURA BLVD STE 420, ENCINO, CA 91436-2062
(818) 600-7600
(818) 334-2497
Mailing address
16500 VENTURA BLVD STE 420, ENCINO, CA 91436-2062
(818) 600-7600
(818) 334-2497
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up