Thomas, Evangela Ann

Thomas, Evangela Ann is an individual health care provider with primary practice located at 3737 Martin Luther King Jr Blvd 605, Lynwood CA 90262-3513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thomas, Evangela Ann can be contacted via phone (310) 639-9363.

Contact Information

Primary practice address
3737 Martin Luther King Jr Blvd 605 Lynwood CA 90262-3513
Phone: (310) 639-9363
Fax: (310) 639-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN 450282 California

Profile Details

NPI number 1235166836
LBN Legal business name Thomas, Evangela Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 9th, 2007 - about 18 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 1235166836 NPPES
California MEDICAID NP0130020

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