Individual provider · NPI-1
Andrew Justin Adorador
Community Health Worker · Los Angeles, CA
NPI number1801669106
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1801669106
- Entity type
- Individual (NPI-1)
- Name
- Andrew Justin Adorador
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2023
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
840 N Avenue 66Los Angeles, CA 90042-1508
Phone 626-395-7100
Mailing address
840 N Avenue 66Los Angeles, CA 90042-1508
Phone 626-395-7100
Other practice locations
1968 W Adams Blvd Ste 201
Los Angeles, CA 90018-3515
Los Angeles, CA 90018-3515
Phone 323-219-7100
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