Healthcare Provider Details

I. General information

NPI: 1396677910
Provider Name (Legal Business Name): EVERPATH HEALING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 WILSHIRE BLVD STE 410-L72
LOS ANGELES CA
90017-3209
US

IV. Provider business mailing address

626 WILSHIRE BLVD STE 410-L72
LOS ANGELES CA
90017-3209
US

V. Phone/Fax

Practice location:
  • Phone: 213-805-7870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RIZWAN MOHAMMED
Title or Position: OWNER
Credential:
Phone: 213-805-7870