Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | A60964 | CA |
NPI | 1104837947 |
---|---|
Provider Name | Dr. Christina L Adberg |
First Address | Los Angeles, CA 90048-5426 |
Second Address | Los Angeles, CA 90048-5426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 01/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H06165 | (02) | CA |