Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | C157530 | CA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | C157530 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2013008004 | MO |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | C157530 | CA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | C157530 | CA |
NPI | 1750580882 |
---|---|
Provider Name | Dr. Adam Anton Sassoon |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 03/08/2018 |