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Contact Information

EVERGREEN FUND
14475 MULHOLLAND DR
LOS ANGELES, CA90077-1733
 Phone: 424-242-2760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for EVERGREEN FUND

NPI Number 1386399335
LBN Legal business name EVERGREEN FUND
Authorized official ALEXANDER SHOHET - (N/S)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2022
Last updated 03/04/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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