Organization Active NPI

Drew Child Cevelopment Corporation

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1780879890
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMF50494 Issued in CA
Legal business name
DREW CHILD CEVELOPMENT CORPORATION
Practice address
1770 E 118TH St
Los Angeles, CA 90059-2518
Phone
(323) 249-2950
Fax
(323) 249-2970
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shauna Lee Spellman
Title
Social Worker/Therapist
Phone
(323) 249-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMF50494 CA Primary

Addresses

Primary practice location

1770 E 118TH St
Los Angeles, CA 90059-2518

Mailing address

1770 E 118TH St
Los Angeles, CA 90059-2518
Phone (323) 249-2950

National Provider Directory

National Provider Directory

Locations

1770 E 118th St
Los Angeles, CA 90059
Phone (323) 249-2950

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1780879890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E 118TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592518",
            "telephone_number": "323-249-2950",
            "fax_number": "323-249-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E 118TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592518",
            "telephone_number": "323-249-2950",
            "fax_number": "323-249-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW CHILD CEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "SPELLMAN",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "323-249-2950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "IMF50494",
            "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 Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.