Evans, Marva Lynn

Evans, Marva Lynn is an individual health care provider with primary practice located at 3020 Childrens Way , San Diego CA 92123-4223. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Evans, Marva Lynn can be contacted via phone (858) 966-5818.

Contact Information

Primary practice address
3020 Childrens Way San Diego CA 92123-4223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G47390 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G47390 California

Profile Details

NPI number 1730250598
LBN Legal business name Evans, Marva Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1730250598 NPPES
California MEDICAID 00G473900

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