EVERGREEN WELLNESS CENTER INC. NPI 1023295276

Health Maintenance Organization in Los Angeles, CA

NPI 1023295276 Organization Health Maintenance Organization

About EVERGREEN WELLNESS CENTER INC.

Evergreen Wellness Center Inc. is a provider established in Los Angeles, California specializing in health maintenance organization. The NPI number of Evergreen Wellness Center Inc. is 1023295276 and was assigned on January 2008. The practitioner's primary taxonomy code is 302R00000X with license number AC9278 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Joan Kim-wagner Acupuncturist (President)

NPI

1023295276

Provider NameEVERGREEN WELLNESS CENTER INC.
Provider Location Address2950 LOS FELIZ BLVD 203 LOS ANGELES, CA 90039
Provider Mailing Address2950 LOS FELIZ BLVD 203 LOS ANGELES, CA 90039
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-29-2008
Last Update Date11-01-2016


Primary Taxonomy

Taxonomy Code302R00000X
ClassificationHealth Maintenance Organization
TypeManaged Care Organizations
License No.AC9278
License StateCA
Taxonomy Description(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Business Address

EVERGREEN WELLNESS CENTER INC.
2950 LOS FELIZ BLVD
203
LOS ANGELES, CA
ZIP 90039
Phone: (323) 665-1985

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Mailing Address

EVERGREEN WELLNESS CENTER INC.
2950 LOS FELIZ BLVD
203
LOS ANGELES, CA
ZIP 90039
Phone: (323) 665-1985



Authorized Official

Authorized Official Name JOAN KIM-WAGNER ACUPUNCTURIST
Authorized Official TitlePRESIDENT
Authorized Official Phone(323) 665-1985

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811067093DR. EUDEL OLPINDO LORENZO DDS
Individual
Dentist2950 LOS FELIZ BLVD SUITE 108
LOS ANGELES, CA 90039
(323) 356-6844
1316141021DR. GARY TCHOBANIAN DC
Individual
Chiropractor2950 LOS FELIZ BLVD SUITE 201
LOS ANGELES, CA 90039
(323) 663-6664
1467659664DR. SEZA TCHOBANIAN DC
Individual
Chiropractor2950 LOS FELIZ BLVD 201
LOS ANGELES, CA 90039
(323) 663-6664

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.