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CHARLES R. DREW UNIVERSITY
NPI 1609367788
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA

Active since May 23, 2018CLIA Certified · 2 labs
1731 E 120TH ST, LOS ANGELES, CA 90059(323) 563-5802 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2018, Nov 16, 2018, May 23, 2018 (3 updates tracked since 2018).

About Charles R. Drew University NPPES

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

CHARLES R. DREW UNIVERSITY (NPI 1609367788) is a healthcare organization registered as a mental health (including community mental health center) in Los Angeles, California and active in the NPI registry since May 2018. The organization holds 2 active CLIA laboratory certificates and lists David P. Lee, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1609367788
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHARLES DREW UNIVERSITY OF MEDICINE & SCIENCE
Location Address1731 E 120TH STLos Angeles, CA 90059-3051
Mailing Address1731 E 120th StLos Angeles, CA 90059-3051 · (323) 563-5802
Phone(323) 563-5802
Organization SubpartNo
Authorized OfficialDavid P. LeeAssociate Director · (323) 563-5802
Enumeration DateMay 23, 2018
Last NPPES UpdateNovember 29, 20183 updates tracked since enumeration
✔ NPI 1609367788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1731 E 120TH ST, Los Angeles, CA 90059
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Other Names 1

Other NameCharles R. Drew University

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1068523

Charles R Drew University Hiv Testing And Outreach Projects · Los Angeles, CA
Active · expires May 13, 2027
CLIA Number05D1068523
Laboratory TypeUniv Based Testing Facili
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorDavid Martins
Laboratory Phone(323) 563-9309
Laboratory LocationCharles R Drew University Hiv Testing And Outreach Projects1731 E 120th St Hiv Testing And Outreach Projects, Los Angeles, CA 90059
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2046304

Charles R Drew University Of Medicine And Science (cdu) · Los Angeles, CA
Active · expires Aug 29, 2026
CLIA Number05D2046304
Laboratory TypeResearch
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorDavid Martins MD
Laboratory Phone(323) 568-3359
Laboratory LocationCharles R Drew University Of Medicine And Science (cdu)1748 E 118th St Lsrne Blgd N113 Cdu Clinical And Translational Research Center, Los Angeles, CA 90059
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MADISON KAUANOE WILLIAMS MD
Psychiatry & Neurology (Psychiatry)
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
CHRIS NOLASCO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 568-3347
SAMUEL KIM MD
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-2480
KATIA CAMPOS
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
TIFFANY MOLINA TAN
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
JASMINE ALEXANDRIA HOLLOWAY
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
SHARDAE BLANDIN
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
BRIAN GIOVANNI MONTANO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800

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 Charles Drew University Of Medicine & Science's NPI number?

The NPI number for Charles Drew University Of Medicine & Science is 1609367788. It was assigned to this organization in the NPPES registry on May 23, 2018. The provider is also known as Charles R. Drew University.

Where is Charles Drew University Of Medicine & Science located?

Charles Drew University Of Medicine & Science is located at 1731 E 120th St, Los Angeles, CA 90059. The listed phone number is (323) 563-5802.

What is Charles Drew University Of Medicine & Science's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Charles Drew University Of Medicine & Science hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Charles Drew University Of Medicine & Science was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.