Provider Demographics
NPI:1699128942
Name:CAD MEDICAL SERVICES
Entity type:Organization
Organization Name:CAD MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:NEISWONGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-797-5511
Mailing Address - Street 1:5042 WILSHIRE BLVD
Mailing Address - Street 2:23774
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-4305
Mailing Address - Country:US
Mailing Address - Phone:213-375-3737
Mailing Address - Fax:213-634-1177
Practice Address - Street 1:5042 WILSHIRE BLVD
Practice Address - Street 2:23774
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4305
Practice Address - Country:US
Practice Address - Phone:213-375-3737
Practice Address - Fax:213-634-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy