Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Radewagen

Individual provider Case Manager/Care Coordinator · NPI 1669831574

Mark Radewagen is a Case Manager/Care Coordinator in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

6762 Lexington Ave
Los Angeles, CA 90038-1217
Phone: (323) 380-7590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1669831574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2016
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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