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KEVIN FITZGEARLD SCOTT SUDRC
NPI 1356128292
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since September 13, 2023
12021 WILMINGTON AVE STE 101, LOS ANGELES, CA 90059(424) 454-6001 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Fitzgearld Scott Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN FITZGEARLD SCOTT SUDRC (NPI 1356128292) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in California (15999) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1356128292
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN FITZGEARLD SCOTTCredential: SUDRC
Location Address12021 WILMINGTON AVE STE 101Los Angeles, CA 90059-3019
Mailing Address844 W 60th StLos Angeles, CA 90044-5513 · (323) 385-7186
Phone(424) 454-6001
Sole ProprietorYes
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1356128292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 15999
12021 WILMINGTON AVE STE 101, Los Angeles, CA 90059
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL DZUL
Community Health Worker
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
STEPHANIA BEATRIS TOVAR VARGAS
Community Health Worker
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
TONI CELESTINE JOHNSON RN
Registered Nurse
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
TERRILL ROSS
Peer Specialist
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
ISELA CUAHUTLE COUNSELOR-ADDICTION
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059
Los Angeles County (310) 365-7414
JOSEPH TIMOTHY VUOSO JR.
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
TYNEKA BURNS
Community Health Worker
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6002
MICHELLE L SOTO
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Scott's NPI number?

The NPI number for Kevin Scott is 1356128292. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Kevin Scott located?

Kevin Scott practices at 12021 Wilmington Ave Ste 101, Los Angeles, CA 90059. The listed phone number is (424) 454-6001.

What is Kevin Scott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kevin Scott was last updated on September 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.