Individual
DR. JACQUELINE D ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7325 MEDICAL CENTER DR STE 300, WEST HILLS, CA 91307-4117
(818) 595-3580
Mailing address
2118 WILSHIRE BLVD # 894, SANTA MONICA, CA 90403-5704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7081A
WY
207RI0200X
Infectious Disease Physician
Primary
7081A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121742900
—
WY
01
—
313871
BLUE CROSS BLUE SHIED
WY
01
—
A052362
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
05/26/2006
Last updated
03/04/2019
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