Nina Alabdulrazzaq

Individual provider Active NPI Day Training/Habilitation Specialist · Venice, CA

NPI 1922780923 · NPPES record last updated Jun 10, 2026

Key facts

NPI
1922780923
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
204 Hampton Dr
Venice, CA 90291-8633
Phone
(213) 828-1667
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Substance Abuse Foundation of Long Beach Past
since Aug 6, 2023
Accepting new patients
Safe Refuge Past
since Aug 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X CA Yes

Addresses

Primary practice location

204 Hampton Dr
Venice, CA 90291-8633

Mailing address

204 Hampton Dr
Venice, CA 90291-8633
Phone (213) 828-1667

Other providers in Venice, CA

All providers in Venice, CA · Day Training/Habilitation Specialist in California

Sources for this page

Verify at the official NPI Registry.