Doctor Name: | MR. CHARLES J PADOW |
NPI Number: | 1023149325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 4700 Sunset Blvd 5th Floor Los Angeles, CA - 90027 |
Business Phone Number: | 3237832600 |
Business Fax Number: | 8187607685 |
Mailing Address: | 4700 Sunset Blvd 5th Floor, LOS ANGELES |
State: | CA |
Postal Code: | 90027 |
Phone Number: | 3237832600 |
Fax Number: | 8187607685 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |