Organization
WEA CA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER B EVANS (CEO)
(917) 648-1068
Entity
Organization
Contact information
Practice address
250 QUAIL RIDGE RD, SCOTTS VALLEY, CA 95066-4821
(408) 341-9606
Mailing address
250 QUAIL RIDGE RD, SCOTTS VALLEY, CA 95066-4821
(408) 341-9606
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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