ADAM ABRAHAM RADWAN
NPI 1528616794
Counselor - Mental Health in Los Angeles, CA
Active since August 29, 2019
About Adam Abraham Radwan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM ABRAHAM RADWAN (NPI 1528616794) is an individual mental health provider in Los Angeles, California, licensed in California (97361) and active in the NPI registry since August 2019. He maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
NPI1528616794
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameADAM ABRAHAM RADWAN
Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821 · (323) 596-2480
Phone(323) 596-2480
Sole ProprietorYes
Enumeration DateAugust 29, 2019
Last NPPES UpdateOctober 5, 20203 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1528616794 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 97361
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3850 CRENSHAW BLVD, Los Angeles, CA 90008
Secondary Practice Location 1
Location 111080 W Olympic BlvdLos Angeles, CA 90064-1937 · Phone (310) 966-6500
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528616794, enumerated as an "individual" on August 29, 2019.
The provider is located at 3850 CRENSHAW BLVD LOS ANGELES, CA 90008 and the phone number is (323) 596-2480.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
