MEDICARE: CHRISTINA TABIT EVANS MD

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	207V00000X	Obstetrics & Gynecology Physician	A155422	CA

General Provider Information

NPI Number	:	1679927354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA TABIT EVANS MD

Provider Business Mailing Address
First Line	:	8274 MELROSE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-6821
Country	:	US
Telephone Number	:	424-237-8406
Fax Number	:	415-521-3057

Provider Business Practice Location Address
First Line	:	8274 MELROSE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-6821
Country	:	US
Telephone Number	:	424-237-8406
Fax Number	:	415-521-3057

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

Provider Enumeration Date	:	04/19/2016
Last Update Date	:	05/10/2024

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