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

Mr. Dmitriy Shegelman, RADT

Individual provider Case Manager/Care Coordinator · NPI 1093495640

Mr. Dmitriy Shegelman, RADT is a Case Manager/Care Coordinator in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

5675 W Olympic Blvd
Los Angeles, CA 90036
Phone: (323) 965-1365
Fax: (323) 965-0444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1511500623 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence R1511500623 (CA)

Record details

NPI number1093495640
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

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