Individual
ANDREW GLENN IONATUIVAITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-1
Contact information
Practice address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
(310) 399-5080
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
(310) 399-5080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R1335360119
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R1335360119
—
CA
Enumeration date
03/28/2019
Last updated
11/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us