Carmen Condon, is a
Rehabilitation Practitioner based in Culver City, California. Carmen Condon is licensed to practice in California (license number ) and her current practice location is
11303 W Washington Blvd Ste 027, Culver City, California. She can be reached at her office (for appointments etc.) via phone at
(310) 486-6667.
NPI number for Carmen Condon is 1619355369 and her current mailing address is 6330 Rugby Ave, Huntington Park, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619355369.
Healthcare Provider's Profile
| Full Name | Carmen Condon |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 11303 W Washington Blvd Ste 027, Culver City, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619355369
- Provider Enumeration Date: 05/14/2015
- Last Update Date: 02/10/2026
Medical Identifiers
Medical identifiers for Carmen Condon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619355369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carmen Condon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carmen Condon,
6330 Rugby Ave,
Huntington Park, CA 90255-4066
Ph: (213) 222-3804 | Carmen Condon,
11303 W Washington Blvd Ste 027,
Culver City, CA 90066-6003
Ph: (310) 486-6667 |
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