Wass, Adam M
Wass, Adam M is an individual health care provider with primary practice located at 722 Baker St , Costa Mesa CA 92626-4320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wass, Adam M can be contacted via phone (714) 557-6300.Contact Information
Primary practice address
722 Baker St
Costa Mesa CA 92626-4320
Phone: (714) 557-6300
Fax: (714) 996-9567
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A87070 | California |
Profile Details
NPI number | 1831140938 |
---|---|
LBN Legal business name | Wass, Adam M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2006 |
Last updated | Jan 4th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831140938 | NPPES |
California | MEDICAID | 00A870700 |
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