Evans, Matthew

Evans, Matthew is an sole proprietor health care provider with primary practice located at 1328 2Nd St , Santa Monica CA 90401-1122. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Evans, Matthew can be contacted via phone (310) 394-6889.

Contact Information

Primary practice address
1328 2Nd St Santa Monica CA 90401-1122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 76859 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 95384 California

Profile Details

NPI number 1194261495
LBN Legal business name Evans, Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2017
Last updated Jul 10th, 2020 - about 6 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.

Request for update

Popular Providers