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
Fax: (714) 996-9567
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831140938 NPPES
California MEDICAID 00A870700

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