ADAM ABRAHAM RADWAN (NPI# 1528616794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528616794 |
| Entity Type | Individual |
| Full Name | ADAM ABRAHAM RADWAN |
| Practice Address |
3850 Crenshaw Blvd Los Angeles CA 90008-1821 |
| Practice Telephone | 3235962480 |
| Mailing Telephone | 3235962480 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
97361 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11080 W Olympic Blvd, Los Angeles, CA 900641937 | 3109666500 |
| Street Address |
3850 CRENSHAW BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083743082 | Southern California Health & Rehabilitation Program | Community/Behavioral Health | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2007-03-05 |
| 1518568500 | Ashlyn Marie Harris | Case Manager/Care Coordinator | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-11-05 |
| 1487261822 | Christian Rosales | Case Manager/Care Coordinator | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-09-29 |
| 1376158626 | Aldo Hernandes Rondan | Case Manager/Care Coordinator | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-09-14 |
| 1295351450 | Brittney Ray | Case Manager/Care Coordinator | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-06-23 |
| 1497370860 | Kimberly Denisse Turcios | Counselor | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-06-11 |
| 1104441872 | Tymon Jair Culberson-smith | Case Manager/Care Coordinator | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-06-09 |
| 1679196406 | Kennard Al-zahir Harris | Case Manager/Care Coordinator | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-05-27 |
| 1053947531 | Eric Dean Meza | Case Manager/Care Coordinator | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-03-17 |
| 1386278760 | Rachel D Garcia | Counselor | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2020-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
Please comment or provide details below to improve the information on ADAM ABRAHAM RADWAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.