Healthcare Provider Details

I. General information

NPI: 1568303782
Provider Name (Legal Business Name): LADELLE ADAMS CFMP#CH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5271 PACIFIC AVE
LONG BEACH CA
90805-5855
US

IV. Provider business mailing address

2892 N BELLFLOWER BLVD UNIT 2247
LONG BEACH CA
90815-1125
US

V. Phone/Fax

Practice location:
  • Phone: 213-564-6775
  • Fax:
Mailing address:
  • Phone: 213-564-6775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: