Ashley C Adams

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

NPI 1407310089 · NPPES record last updated Jan 28, 2019

Key facts

NPI
1407310089
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
204 Hampton Dr
Venice, CA 90291-2623
Phone
(310) 396-8633
NPI assigned
Jan 28, 2019
Sex
Female
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 Yes

Addresses

Primary practice location

204 Hampton Dr
Venice, CA 90291-2623

Mailing address

204 Hampton Dr
Venice, CA 90291-2623
Phone (310) 396-6468

Other providers in Venice, CA

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

Sources for this page

Verify at the official NPI Registry.