EVOLVE GROWTH INITIATIVES LLC NPI 1912310947

NPI Information

  • NPI: 1912310947
  • Provider Name: EVOLVE GROWTH INITIATIVES LLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 820 MORAGA DR
    LOS ANGELES, CA
    ZIP 90049
  • Phone: (424) 281-5000

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NPI Details

EVOLVE GROWTH INITIATIVES LLC is an adolescent and children mental health clinic center in Los Angeles, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EVOLVE GROWTH INITIATIVES LLC NPI is 1912310947. The provider is registered as an organization entity type.

The provider's business location address is:

820 MORAGA DR
LOS ANGELES, CA
ZIP 90049-632
Phone: (424) 281-5000

The provider's authorized official is Eddy Lai .
The authorized official title is Controller and has the following contact phone number (424) 290-3341.

The enumeration date for this NPI number is 6/6/2014 and was last updated on 8/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
3251S00000XCommunity/Behavioral HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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