Cardenas, Evelyn Elise

Cardenas, Evelyn Elise is an sole proprietor health care provider with primary practice located at 215 W Janss Rd , Thousand Oaks CA 91360-1847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Cardenas, Evelyn Elise can be contacted via phone (805) 370-4435.

Contact Information

Primary practice address
215 W Janss Rd Thousand Oaks CA 91360-1847
Fax: (805) 379-5579
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G58538 California

Profile Details

NPI number 1154356855
LBN Legal business name Cardenas, Evelyn Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jul 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154356855 NPPES
California MEDICAID 00G585380

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