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General NPI Number Information
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NPI Number | 1316850506
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Entity Type | Organization
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Legal Business Name | PACIFIC EVALUATION MANAGEMENT, LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 960 21ST ST APT F
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City | SANTA MONICA
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State | CA
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Zip | 90403-3418
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Country | US
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Telephone | 310-499-4339
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 OCEAN PARK BLVD STE 200 #687
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City | SANTA MONICA
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State | CA
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Zip | 90405-3054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KRISH KUMAR
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Credential |
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Telephone | 918-900-4858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | NULL
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