Dijohn D Adger

Individual provider Active NPI Case Manager/Care Coordinator · Altadena, CA

NPI 1124760871 · NPPES record last updated Apr 12, 2022

Key facts

NPI
1124760871
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
765 Ventura St
Altadena, CA 91001-4966
Phone
(626) 319-9030
NPI assigned
Apr 12, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CA Yes

Addresses

Primary practice location

765 Ventura St
Altadena, CA 91001-4966

Mailing address

765 Ventura St
Altadena, CA 91001-4966

Other providers in Altadena, CA

All providers in Altadena, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.