Individual
ADAM ABRAHAM RADWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 596-2480
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 596-2480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
97361
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2019
Last updated
10/05/2020
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