James R. Evans | Los Angeles, CA • PECOS Search

James R. Evans

Internal Medicine

Allopathic & Osteopathic Physicians

4733 W Sunset Blvd, Los Angeles, CA 90027-6021

PECOS Enrollment

Based on the most recent information from CMS, provider James R. Evans does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043387996
Provider Type
Individual
Full Name
Evans, James R.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
11/29/2006
Last Updated
11/29/2021

Contact Information

Practice Location

4733 W Sunset Blvd, Los Angeles, CA 90027-6021

Unlisted Fax

Mailing Location

4733 W Sunset Blvd, Los Angeles, CA 90027-6021

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License G53027 California