Healthcare Provider Details
I. General information
NPI: 1568655876
Provider Name (Legal Business Name): EVA'S HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1637 E WASHINGTON BLVD
PASADENA CA
91104-2747
US
IV. Provider business mailing address
1637 E WASHINGTON BLVD
PASADENA CA
91104-2747
US
V. Phone/Fax
- Phone: 626-797-7177
- Fax: 626-797-7447
- Phone: 626-797-7177
- Fax: 626-797-7447
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
EVA
ZILBERMAN
Title or Position: OWNER
Credential:
Phone: 626-797-7177