Evangelista, Josephine Arcilla
Evangelista, Josephine Arcilla is an sole proprietor health care provider with primary practice located at 2020 Santa Monica Blvd Ste 600 , Santa Monica CA 90404-2131. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Evangelista, Josephine Arcilla can be contacted via phone (310) 826-5471.Contact Information
Primary practice address
2020 Santa Monica Blvd Ste 600
Santa Monica CA 90404-2131
Phone: (310) 826-5471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN60338171 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN60338171 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP 15984 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60338791 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 15984 | California |
Profile Details
| NPI number | 1275704587 |
|---|---|
| LBN Legal business name | Evangelista, Josephine Arcilla |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2008 |
| Last updated | Jun 4th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275704587 | NPPES |
| California | Other | 511361 | REGISTERED NURSE LICENSE |
| California | Other | 15984 | REGISTERED NURSE LICENSE |
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