| Doctor Name: | PROF. ERIC FRANZ EVENHUIS |
| NPI Number: | 1114112455 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MFT |
| License Number: | MFC-13882 |
| Business Practice Address: | 6113 Kirkwood Ave Alta Loma, CA - 917013417 |
| Business Phone Number: | 9099805900 |
| Business Fax Number: | 9094664203 |
| Mailing Address: | 10808 Foothill Blvd, 160-427 RANCHO CUCAMONGA |
| State: | CA |
| Postal Code: | 917303889 |
| Phone Number: | 9094815800 |
| Fax Number: | 9094815872 |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MFC-13882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |