Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A170363 | CA |
N | 207X00000X | Orthopaedic Surgeon | BP10053395 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A170363 | CA |
NPI | 1013390533 |
---|---|
Provider Name | Micah Paul Adamson |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90024-6990 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2015 |
Last Update Date | 01/12/2020 |