Evangelista, Edil
Evangelista, Edil is an sole proprietor health care provider with primary practice located at 425 Diamond Dr Ste 105 , Lake Elsinore CA 92530-4495. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Evangelista, Edil can be contacted via phone (951) 674-8779.Contact Information
Primary practice address
425 Diamond Dr Ste 105
Lake Elsinore CA 92530-4495
Phone: (951) 674-8779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95012122 | California |
Profile Details
| NPI number | 1184272759 |
|---|---|
| LBN Legal business name | Evangelista, Edil |
| Credentials | MSN RN PHN FNPC CCRN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2019 |
| Last updated | Oct 1st, 2019 - about 6 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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