Basic Information
| Provider Information | |||||||||
| NPI: | 1487955746 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADAIR | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | ANTHONY | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 320 N HALSTEAD ST | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911073147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6269218220 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2990 INLAND EMPIRE BLVD STE 101 | ||||||||
| Address2: | |||||||||
| City: | ONTARIO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917644899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099803427 | ||||||||
| FaxNumber: | 9099453456 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2010 | ||||||||
| LastUpdateDate: | 02/21/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225400000X | 63128 | CA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner | 101YM0800X | 82464 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.