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Evergreen Wellness Center Inc.

Health Maintenance Organization in Los Angeles, CA · enumerated 2008 · authorized official Joan Kim-Wagner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023295276

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Wellness Center Inc.
Practice address 2950 Los Feliz Blvd, 203, Los Angeles, CA, 90039
Enumeration date Jan 29, 2008
Last updated in NPPES Nov 1, 2016

Taxonomy & classification

302R00000X Health Maintenance Organization Managed Care Organizations · License AC9278 (CA) Primary

Authorized official

Name Joan Kim-Wagner
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Evergreen Wellness Center Inc.?
The NPI for Evergreen Wellness Center Inc. is 1023295276, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evergreen Wellness Center Inc.?
NPPES lists Joan Kim-Wagner (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-01.