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General NPI Number Information
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NPI Number | 1306513593
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Entity Type | Individual
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Provider Name | ABDULRAZAK ABDULKADER
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Gender | Male
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 9808 VENICE BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232-2732
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Country | US
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Telephone | 310-945-3350
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Fax | 310-945-3356
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Provider Business Mailing Address
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Address Line | 3540 MARICOPA ST
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City | TORRANCE
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State | CA
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Zip | 90503-4951
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 225400000X
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License Number State | CA
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