Organization
EVANS ELECTRODIAGNOSTICS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW EVANS DPT (PRESIDENT)
(805) 644-1591
Entity
Organization
Contact information
Practice address
1889 KNOLL DR, VENTURA, CA 93003-7348
(805) 644-1591
(805) 644-1593
Mailing address
1889 KNOLL DR, VENTURA, CA 93003-7348
(805) 644-1591
(805) 644-1593
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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