Healthcare Provider Details

I. General information

NPI: 1205032257
Provider Name (Legal Business Name): MS. ADLEAN MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S VICTORIA AVE 203
LOS ANGELES CA
90016-1861
US

IV. Provider business mailing address

2300 S VICTORIA AVE 203
LOS ANGELES CA
90016-1861
US

V. Phone/Fax

Practice location:
  • Phone: 323-440-0669
  • Fax:
Mailing address:
  • Phone: 323-440-0669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: