Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A155304 | CA |
NPI | 1588028021 |
---|---|
Provider Name | Dr. Adrian House |
First Address | Beverly Hills, CA 90212-2913 |
Second Address | Beverly Hills, CA 90212-2913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2016 |
Last Update Date | 20/11/2021 |