Evangelista, Rome Diostonne
Evangelista, Rome Diostonne is an sole proprietor health care provider with primary practice located at 16530 Ventura Blvd Ste 400 , Encino CA 91436-4551. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Evangelista, Rome Diostonne can be contacted via phone (818) 625-4814.Contact Information
Primary practice address
16530 Ventura Blvd Ste 400
Encino CA 91436-4551
Phone: (818) 625-4814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95026297 | California |
Profile Details
| NPI number | 1144902347 |
|---|---|
| LBN Legal business name | Evangelista, Rome Diostonne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2023 |
| Last updated | Jun 12th, 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.
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