EVERGREEN WELLNESS CENTER INC.
Managed Care Organizations at Los Feliz Blvd, Los Angeles, CA

License number
California AC9278
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: JOAN KIM-WAGNER ACUPUNCTURIST
Title: PRESIDENT
Phone: (323) 665-1985
Address
Address
2950 Los Feliz Blvd, Los Angeles, CA 90039
National Provider ID: 1023295276
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EVERGREEN WELLNESS CENTER INC. at bizstanding.com

EVERGREEN WELLNESS CENTER, INC

Los Angeles, CA

Industry:
Health and Allied Services, Nec, Nsk, Health/Allied Services, Health Practitioner's Office
Registration:
May 19, 2006
Addresses:
2950 Los Feliz Blvd STE 203, Los Angeles, CA 90039 (Physical)
2254 Hidalgo Ave, Los Angeles, CA 90039
State ID:
C2835513
Business type:
Articles of Incorporation
Presidents:
Mark Wagner (President),Joan Kim Wagner President, inactive
Agent:
Joan Kim-Wagner,Los Angeles, CA 90039 (Physical)

Managed Care Organizations licenses in California










Other Doctors licenses in California