Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | DR-51192 | CO |
N | 207VX0201X | Gynecologic Oncologist | C140466 | CA |
NPI | 1013111608 |
---|---|
Provider Name | Dr. Crystal Lynn Adams |
First Address | Los Angeles, CA 90033 |
Second Address | Los Angeles, CA 90033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
78538564 | (05) | CO |