MEDICARE: EVOKES LLC

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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1821972969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOKES LLC

Provider Business Mailing Address
First Line	:	15214 LEADWELL ST
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91405-1735
Country	:	US
Telephone Number	:	818-501-9002
Fax Number	:

Provider Business Practice Location Address
First Line	:	15214 LEADWELL ST
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91405-1735
Country	:	US
Telephone Number	:	818-501-9002
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	AIDA GRIGORYAN
Credential	:
Telephone Number	:	818-426-9207

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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Directions to “EVOKES LLC ” Practice Location

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