Individual
DR. ADAM M WASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
722 BAKER ST, COSTA MESA, CA 92626-4320
(714) 557-6300
(714) 996-9567
Mailing address
2742 DOW AVE, TUSTIN, CA 92780-7242
(714) 665-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A87070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A870700
—
CA
Enumeration date
05/13/2006
Last updated
01/04/2013
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