Healthcare Provider Details

I. General information

NPI: 1093677221
Provider Name (Legal Business Name): WEA CA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47915 OASIS ST
INDIO CA
92201-6950
US

IV. Provider business mailing address

47915 OASIS ST
INDIO CA
92201-6950
US

V. Phone/Fax

Practice location:
  • Phone: 818-298-9444
  • Fax: 866-811-0333
Mailing address:
  • Phone: 818-298-9444
  • Fax: 866-811-0333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: TYLER B EVANS
Title or Position: CEO
Credential:
Phone: 917-648-1068