Provider Demographics
NPI:1407034317
Name:CADY, ADAM CHRISTOPHER (ATC,CSCS,CST,PA)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:CHRISTOPHER
Last Name:CADY
Suffix:
Gender:M
Credentials:ATC,CSCS,CST,PA
Other - Prefix:
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Mailing Address - Street 1:6801 PARK TER
Mailing Address - Street 2:#400
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1543
Mailing Address - Country:US
Mailing Address - Phone:310-665-7200
Mailing Address - Fax:888-972-7130
Practice Address - Street 1:6801 PARK TER
Practice Address - Street 2:100,400
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-1543
Practice Address - Country:US
Practice Address - Phone:310-665-7200
Practice Address - Fax:888-972-7130
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA0708023712255A2300X
CA52767363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer