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CREATE REALISTIC CHANGE INC
NPI 1699246272
Clinic/Center - Rehabilitation in Los Angeles, CA

Active since December 07, 2018
1873 W 54TH ST, LOS ANGELES, CA 90062(424) 222-1795 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2019, Aug 23, 2019, Aug 15, 2019 and 1 more (4 updates tracked since 2018).

About Create Realistic Change Inc NPPES

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

CREATE REALISTIC CHANGE INC (NPI 1699246272) is a healthcare organization registered as a rehabilitation in Los Angeles, California and active in the NPI registry since December 2018. The organization lists Califia Abwoon, Founder And Director, as its authorized official.

NPPES Registry Identity

NPI1699246272
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameCREATE REALISTIC CHANGE INC
Location Address1873 W 54TH STLos Angeles, CA 90062-2604
Mailing Address531 Main St Ste 1132El Segundo, CA 90245-3060 · (424) 222-1795
Phone(424) 222-1795
Organization SubpartNo
Authorized OfficialCalifia AbwoonFounder And Director · (424) 222-1795
Enumeration DateDecember 7, 2018
Last NPPES UpdateOctober 21, 20194 updates tracked since enumeration
✔ NPI 1699246272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
1873 W 54TH ST, Los Angeles, CA 90062
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MR. HENRY N HOBDY PEER SPECIALIST
Rehabilitation Practitioner
1873 W 54TH ST
LOS ANGELES, CA 90062
Los Angeles County (323) 331-5678
MR. RODERICK VINCENT TODD RECOVERY PRACTIONER
Rehabilitation Practitioner
1873 W 54TH ST
LOS ANGELES, CA 90062
Los Angeles County (424) 440-5660
MR. BRANDON JACKSON RECOVERY PRACTIONER
Rehabilitation Practitioner
1873 W 54TH ST
LOS ANGELES, CA 90062
Los Angeles County (562) 794-7892
MRS. PAMELA HOSKINS CPSS
Rehabilitation Practitioner
1873 W 54TH ST
LOS ANGELES, CA 90062
Los Angeles County (562) 400-2912

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 Create Realistic Change Inc's NPI number?

The NPI number for Create Realistic Change Inc is 1699246272. It was assigned to this organization in the NPPES registry on December 7, 2018.

Where is Create Realistic Change Inc located?

Create Realistic Change Inc is located at 1873 W 54th St, Los Angeles, CA 90062. The listed phone number is (424) 222-1795.

What is Create Realistic Change Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Create Realistic Change Inc was last updated on October 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.