CREATE REALISTIC CHANGE INC NPI 1699246272

NPI Information

  • NPI: 1699246272
  • Provider Name: CREATE REALISTIC CHANGE INC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 1873 W 54TH ST
    LOS ANGELES, CA
    ZIP 90062
  • Phone: (424) 222-1795

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NPI Details

CREATE REALISTIC CHANGE INC is a rehabilitation clinic center in Los Angeles, CA. CREATE REALISTIC CHANGE INC NPI is 1699246272. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1873 W 54TH ST
LOS ANGELES, CA
ZIP 90062-604
Phone: (424) 222-1795

The provider's authorized official is Califia Abwoon .
The authorized official title is Founder And Director and has the following contact phone number (424) 222-1795.

The enumeration date for this NPI number is 12/7/2018 and was last updated on 10/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2104100000XSocial WorkerNo
3171M00000XCase Manager/Care CoordinatorNo
4225400000XRehabilitation PractitionerNo
5251B00000XCase ManagementNo
6251V00000XVoluntary or CharitableNo
7261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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