Active NPIIndividual provider

Mrs. Debra C Adewale, PAC

Physician Assistant, Medical in Los Angeles, California

NPI Number1407910763
Practice location
7301 S Western Ave, Los Angeles, CA 90047-2254
Fax
—
Last updated
July 21, 2023

Debra Cardell Adewale is a Physician Assistant, Medical based in Los Angeles, CA. Debra Cardell Adewale practices in Los Angeles, CA and has the professional credentials of PAC. The NPI Number for Debra Cardell Adewale is 1407910763 and holds a License No. PA11301 (CA). The current practice location address for Debra Cardell Adewale is 7301 S Western Ave, Los Angeles, CA 90047-2254 and can be reached out via phone at 323-778-2131.

Provider Profile Details

NPI Number
1407910763
Provider Name
Debra Cardell Adewale
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
7301 S Western Ave, Los Angeles, CA 90047-2254
Phone Number
323-778-2131
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
December 21, 2006
Last Update Date
July 21, 2023
Certification Date
July 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
7301 S Western Ave
Los Angeles, CA 90047-2254
Zip
90047-2254
Phone Number
323-778-2131
Los Angeles, CA 90047Get directions →

Provider Business Mailing Address Details

Address
5337 6TH Ave
Los Angeles, CA 90043-2623
City
Los Angeles
State
CA
Zip
90043-2623
Phone Number
213-804-1305
Fax Number
323-704-3341

License Information

License Number
PA11301
License State
CA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Debra C Adewale, PAC?

The NPI number of Mrs. Debra C Adewale, PAC is 1407910763. It was assigned on December 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Debra C Adewale, PAC?

Mrs. Debra C Adewale, PAC is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CA under license number PA11301.

Where does Mrs. Debra C Adewale, PAC practice?

The practice location is 7301 S Western Ave, Los Angeles, CA 90047-2254. The office can be reached at 323-778-2131 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407910763 directly on the NPPES registry website.

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