Shontanese Adams

Individual provider Active NPI Attendant Care Provider · Compton, CA

NPI 1740823749 · NPPES record last updated Oct 22, 2019

Key facts

NPI
1740823749
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
331 W Myrrh St Apt a
Compton, CA 90220-3114
Phone
(310) 868-4570
NPI assigned
Oct 22, 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
Attendant Care Provider
Group: 193400000X SINGLE SPECIALTY GROUP
3747A0650X Yes

Addresses

Primary practice location

331 W Myrrh St Apt a
Compton, CA 90220-3114

Mailing address

331 W Myrrh St Apt a
Compton, CA 90220-3114

Other providers in Compton, CA

All providers in Compton, CA · Attendant Care Provider in California

Sources for this page

Verify at the official NPI Registry.