MEDICARE: ELIZABETH ASHLEY EVANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374K00000X	Religious Nonmedical Practitioner
2	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1538001300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ASHLEY EVANS

Provider Business Mailing Address
First Line	:	368 N CLEVELAND ST
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92866-1102
Country	:	US
Telephone Number	:	818-387-5061
Fax Number	:

Provider Business Practice Location Address
First Line	:	295 REDONDO AVE STE 203
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-5968
Country	:	US
Telephone Number	:	949-427-0355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ ELIZABETH ASHLEY EVANS ” Practice Location

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