Evergreen Wellness Center Inc.
NPI 1023295276 · Health Maintenance Organization · Los Angeles, CA
Evergreen Wellness Center Inc. is a Health Maintenance Organization organization in Los Angeles, CA (NPI 1023295276).
Provider details
- NPI number
- 1023295276
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Joan Kim-Wagner, President(323) 665-1985
- License
- AC9278 (CA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2016-11-01
Frequently asked questions
- What is Evergreen Wellness Center Inc.'s NPI number?
- Evergreen Wellness Center Inc.'s National Provider Identifier (NPI) is 1023295276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Wellness Center Inc.?
- Evergreen Wellness Center Inc. is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Evergreen Wellness Center Inc. located?
- Evergreen Wellness Center Inc.'s practice location on file with NPPES is 2950 Los Feliz Blvd, Los Angeles, CA 90039-1532.
- What is Evergreen Wellness Center Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen Wellness Center Inc. is (323) 665-1985.
- Who is the authorized official for Evergreen Wellness Center Inc.?
- The authorized official listed on Evergreen Wellness Center Inc.'s NPPES record is Joan Kim-Wagner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Wellness Center Inc.'s NPI active?
- Yes — Evergreen Wellness Center Inc.'s NPI (1023295276) is active in the NPPES registry as of the last update on 2016-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.