Evolving Pathways Inc.

LBN: Evolving Pathways Inc.
Evolving Pathways Inc. is an health care organization with primary practice located at 16801 Bollinger Dr , Pacific Palisades CA 90272-3220. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Evolving Pathways Inc. can be contacted via phone (424) 212-3212, or through Caldera, Jessie via phone (424) 212-3212.

Contact Information

Primary practice address
16801 Bollinger Dr Pacific Palisades CA 90272-3220
Fax:
Website:
Authorized official contact:
Name: Caldera, Jessie PSY.D

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1760090609
LBN Legal business name Evolving Pathways Inc.
DBA Doing business as
Authorized official Caldera, Jessie PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2020
Last updated Jul 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760090609 NPPES
California MEDICAID CB297075
California Other CB297075

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