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Organization

EVOLVE PSYCHIATRY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH F WOOD (ASSISTANT SECRETARY)
(424) 290-3341
Entity
Organization

Contact information

Practice address
300 N PACIFIC COAST HWY STE 2060, EL SEGUNDO, CA 90245-4479
(404) 386-6373
Mailing address
300 N PACIFIC COAST HWY STE 2060, EL SEGUNDO, CA 90245-4479

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
06/16/2020
Last updated
06/17/2020
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