Provider Demographics
NPI:1619134509
Name:EV MED RESEARCH LLC
Entity Type:Organization
Organization Name:EV MED RESEARCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-534-9700
Mailing Address - Street 1:25332 NARBONNE AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2144
Mailing Address - Country:US
Mailing Address - Phone:310-534-9700
Mailing Address - Fax:310-534-9701
Practice Address - Street 1:25332 NARBONNE AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2144
Practice Address - Country:US
Practice Address - Phone:310-534-9700
Practice Address - Fax:310-534-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory