Provider Demographics
NPI:1184089310
Name:EVAL-DOCS
Entity type:Organization
Organization Name:EVAL-DOCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:CATANZARITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:844-382-5362
Mailing Address - Street 1:1520 NUTMEG PL
Mailing Address - Street 2:SUITE 260
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-2501
Mailing Address - Country:US
Mailing Address - Phone:844-382-5362
Mailing Address - Fax:888-383-2162
Practice Address - Street 1:1520 NUTMEG PL
Practice Address - Street 2:SUITE 102
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-2501
Practice Address - Country:US
Practice Address - Phone:844-382-5362
Practice Address - Fax:888-383-2162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Single Specialty