Provider Demographics
NPI:1255735908
Name:NATIONAL DISABILITY EVALUATIONS
Entity type:Organization
Organization Name:NATIONAL DISABILITY EVALUATIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GYEPES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-957-2710
Mailing Address - Street 1:11500 W OLYMPIC BLVD STE 580
Mailing Address - Street 2:LOS ANGELES
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1537
Mailing Address - Country:US
Mailing Address - Phone:866-496-1299
Mailing Address - Fax:
Practice Address - Street 1:11500 W OLYMPIC BLVD STE 580
Practice Address - Street 2:LOS ANGELES
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1537
Practice Address - Country:US
Practice Address - Phone:866-496-1299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization