Individual
MARC EIVIND EVENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-8978
Mailing address
5901 E 7TH ST, PO BOX 54779, LONG BEACH, CA 90822-5201
(714) 456-6369
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
000000A65848
CA
Other
Enumeration date
10/26/2006
Last updated
04/14/2016
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