John R Evans Md

LBN: John R Evans Md
John R Evans Md is an health care organization with primary practice located at 399 E Highland Ave Suite 110, San Bernardino CA 92404-3808. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. John R Evans Md can be contacted via phone (909) 886-2609, or through Evans, John R via phone (909) 886-2609.

Contact Information

Primary practice address
399 E Highland Ave Suite 110 San Bernardino CA 92404-3808
Phone: (909) 886-2609
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, John R Doctor of Medicine (MD)
Phone: (909) 886-2609

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1043478779
LBN Legal business name John R Evans Md
DBA Doing business as
Authorized official Evans, John R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043478779 NPPES
California MEDICAID GR0051140

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