Individual
DR. ADAM NOAH BOULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 683-2824
(714) 653-1723
Mailing address
16000 LASSEN ST BLDG 4, APT 226, NORTH HILLS, CA 91343-1685
(714) 683-2824
(714) 653-1723
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
210847
GA
207P00000X
Emergency Medicine Physician
Primary
A195131
CA
208000000X
Pediatrics Physician
G143626
CA
2084P0800X
Psychiatry Physician
G143626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A721390
—
CA
Enumeration date
04/11/2022
Last updated
11/16/2025
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