Healthcare Provider Details

I. General information

NPI: 1992675763
Provider Name (Legal Business Name): EVOKED NEUROMONITORING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 11/07/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 E BAYAUD AVE
DENVER CO
80209
US

IV. Provider business mailing address

1905 SHERMAN STREET STE 200 PMB#2281
DENVER CO
80203-1132
US

V. Phone/Fax

Practice location:
  • Phone: 714-614-7471
  • Fax: 303-200-7350
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA VALOV
Title or Position: OWNER
Credential: CNIM
Phone: 714-614-7471