Provider Demographics
NPI:1881139053
Name:ADAWI, MICHAEL ANDREW
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANDREW
Last Name:ADAWI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40925 COUNTY CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-6037
Mailing Address - Country:US
Mailing Address - Phone:951-600-6360
Mailing Address - Fax:951-600-6377
Practice Address - Street 1:40925 COUNTY CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-6037
Practice Address - Country:US
Practice Address - Phone:951-600-6360
Practice Address - Fax:951-600-6377
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-27
Last Update Date:2024-02-08
Deactivation Date:2019-09-25
Deactivation Code:
Reactivation Date:2022-01-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker