Active NPI
Oi Wan Alia Man
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1003146580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 12740
- Practice address
- 515 Columbus Ave
Los Angeles, CA 90017-1204 - Phone
- (213) 553-1884
- NPI assigned
- Jan 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 12740 | CA | Primary |
Addresses
Primary practice location
515 Columbus Ave
Los Angeles, CA 90017-1204
Mailing address
515 Columbia Ave Ste 100
Los Angeles, CA 90017-1209
Phone (213) 553-1884
Other practice location 1
1665 W Adams Blvd
Apt/Suite
Los Angeles, CA 90007-1533
Phone (323) 731-3534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 12740 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1003146580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 COLUMBIA AVE STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171209",
"telephone_number": "213-553-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 COLUMBUS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171204",
"telephone_number": "213-553-1884"
}
],
"practiceLocations": [
{
"address_1": "1665 W Adams Blvd",
"address_2": "Apt/Suite",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900071533",
"country_code": "US",
"telephone_number": "323-731-3534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAN",
"first_name": "OI WAN",
"middle_name": "ALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2021-02-17",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 12740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.