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EDWIN RAY COLEMAN SR.
NPI 1558635789
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since March 06, 2012
2614 CRENSHAW BLVD., LOS ANGELES, CA 90016(310) 230-5574(323) 373-9786 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Edwin Ray Coleman Sr. NPPES

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

EDWIN RAY COLEMAN SR. (NPI 1558635789) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1558635789
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDWIN RAY COLEMAN SR.
Location Address2614 CRENSHAW BLVD.Los Angeles, CA 90016
Mailing Address3026 9 Th AveLos Angeles, CA 90028 · (323) 461-2817 · Fax (323) 373-9786
Phone(310) 230-5574
Fax(323) 373-9786
Sole ProprietorYes
Enumeration DateMarch 6, 2012
Last NPPES UpdateMarch 21, 2012
✔ NPI 1558635789 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
2614 CRENSHAW BLVD., Los Angeles, CA 90016
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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 Edwin Coleman's NPI number?

The NPI number for Edwin Coleman is 1558635789. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Edwin Coleman located?

Edwin Coleman practices at 2614 Crenshaw Blvd., Los Angeles, CA 90016. The listed phone number is (310) 230-5574.

What is Edwin Coleman'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 Edwin Coleman was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.