Evans, Scott Randall

Evans, Scott Randall is an individual health care provider with primary practice located at 6699 Alvarado Rd Suite 2100, San Diego CA 92120-5238. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Evans, Scott Randall can be contacted via phone (619) 229-3909.

Contact Information

Primary practice address
6699 Alvarado Rd Suite 2100 San Diego CA 92120-5238
Phone: (619) 229-3909
Fax: (619) 229-3902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A100151 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6002851-1205 Utah

Profile Details

NPI number 1699894808
LBN Legal business name Evans, Scott Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 24th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699894808 NPPES
California Other W12026 MEDICARE GROUP PTAN

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