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NPI Code Detail

MEDICARE: ADRIANA DESIREA LEWIS

MEDICARE: ADRIANA DESIREA LEWIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1083576680
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA DESIREA LEWIS
Provider Business Mailing Address
First Line : 220 W CENTRAL AVE APT 116
Second Line :
City : BREA
State : CA
Zip : 92821-3341
Country : US
Telephone Number : 310-895-3765
Fax Number : 213-381-2931
Provider Business Practice Location Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number : 213-381-2931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ ADRIANA DESIREA LEWIS ” Practice Location

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