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General NPI Number Information
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NPI Number | 1518099142
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Entity Type | Organization
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Legal Business Name | HEALTH EVALUATION CENTER
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 2220 W MANCHESTER BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-2514
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Country | US
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Telephone | 323-750-0640
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Fax | 323-777-6446
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Provider Business Mailing Address
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Address Line | 2220 W MANCHESTER BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-2514
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Country | US
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Telephone | 323-750-0640
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Fax | 323-777-6446
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. IREY DOLORES HILSMAN
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Credential |
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Telephone | 323-750-0640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | FNP-3233
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License Number State | CA
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