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NPI Code Detail

MEDICARE: LAMAR MCADOO

MEDICARE: LAMAR MCADOO
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
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1235080201
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAMAR MCADOO
Provider Business Mailing Address
First Line : 6043 HOLLYWOOD BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-5411
Country : US
Telephone Number : 323-653-1990
Fax Number : 323-337-1834
Provider Business Practice Location Address
First Line : 6043 HOLLYWOOD BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-5411
Country : US
Telephone Number : 323-653-1990
Fax Number : 323-337-1834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ LAMAR MCADOO ” Practice Location

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