Greeley, Adela Maria

Greeley, Adela Maria is an individual health care provider with primary practice located at 1250 16Th St , Santa Monica CA 90404-1249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Greeley, Adela Maria can be contacted via phone (310) 319-4698.

Contact Information

Primary practice address
1250 16Th St Santa Monica CA 90404-1249
Fax: (310) 319-4908
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A86940 California

Profile Details

NPI number 1205968492
LBN Legal business name Greeley, Adela Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Apr 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205968492 NPPES
California Other 1205968492 CCS PANELED
California MEDICAID 1205968492 CCS PANELED

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