National Provider Identifier Database

EVOLVE GROWTH INITIATIVES LLC
Adolescent and Children Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.


Contact Information

EVOLVE GROWTH INITIATIVES LLC
360 N. PACIFIC COAST HWY
1010
EL SEGUNDO, CA90245
Phone: 855-490-0302
Fax:
Specialty Taxonomy Code
* Adolescent and Children Mental Health 261QM0855X
Substance Abuse Disorder Rehabilitation Facility 324500000X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for EVOLVE GROWTH INITIATIVES LLC

NPI Number 1730592643
Legal business name
LBN
EVOLVE GROWTH INITIATIVES LLC
Authorized official EDDY LAI - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/09/2014
Last updated 03/24/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • CA Other: 05D2086936 CLIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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