Healthcare Provider Details

I. General information

NPI: 1164332151
Provider Name (Legal Business Name): CHRISTY EVANS MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 N SEPULVEDA BLVD STE A
MANHATTAN BEACH CA
90266-2463
US

IV. Provider business mailing address

8315 GONZAGA AVE
LOS ANGELES CA
90045-2577
US

V. Phone/Fax

Practice location:
  • Phone: 424-424-2155
  • Fax:
Mailing address:
  • Phone: 310-923-1091
  • Fax: 310-758-2954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINA EVANS
Title or Position: OWNER PHYSICIAN
Credential: MD
Phone: 310-923-1091