Individual
AMY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1328 TWENTY SECOND STREET, SANTA MONICA, CA 90404
(310) 582-7089
Mailing address
4650 LINCOLN BLVD, DEPT : ER, MARINA DEL REY, CA 90292-6306
(310) 430-6586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA13756
CA
363A00000X
Physician Assistant
Primary
PA13756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA13756
—
CA
Enumeration date
05/13/2006
Last updated
08/04/2024
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