| Evergreen Fund | |
|
329 N Wetherly Dr Ste 207 Beverly Hills CA 90211-1675 | |
| (323) 899-9115 | |
| (323) 870-8200 |
| Full Name | Evergreen Fund |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 329 N Wetherly Dr Ste 207, Beverly Hills, California |
| Authorized Official Name and Position | Alexander David Shohet (MANAGING DIRECTOR) |
| Authorized Official Contact | 3238999115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Fund 8033 W Sunset Blvd Ste 1053 Los Angeles CA 90046-2401 Ph: (323) 899-9115 | Evergreen Fund 329 N Wetherly Dr Ste 207 Beverly Hills CA 90211-1675 Ph: (323) 899-9115 |
| NPI Number | 1073168142 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073168142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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