Individual
EVELYN ELIZALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
(323) 384-5150
Mailing address
5020 MCKINLEY AVE, LOS ANGELES, CA 90011-4026
(323) 613-5466
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
07/21/2023
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