Organization
EVOLVE PSYCHIATRY AND WELLNESS A NURSING CORPORATION
Active
Other names
EVOLVE PSYCHIATRY AND WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
CHOMYA OO (CEO)
(818) 699-2125
Entity
Organization
Contact information
Practice address
1508 BARTON RD, STE 216, REDLANDS, CA 92373-1410
(909) 895-0546
(909) 935-1185
Mailing address
1508 BARTON RD STE 216, REDLANDS, CA 92373-1410
(909) 895-0546
(909) 935-1185
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
10/26/2023
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