Individual provider · NPI-1

Dr. David Jordan Adams, M.D.

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · Orange, CA

NPI number1497109722
StatusActive
Last updated in NPPESSep 7, 2022

Details

NPI
1497109722
Entity type
Individual (NPI-1)
Name
Dr. David Jordan Adams
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 23, 2016
Certification date
Sep 7, 2022
Last updated
Sep 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child NeurologyA156649CAYes
390200000X Student in an Organized Health Care Education/Training Program–IL

Practice location

1201 W La Veta Ave
Orange, CA 92868-4203

Phone 714-509-7601

Mailing address

1201 W La Veta Ave
Orange, CA 92868-4203

Phone 615-364-8829

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