Healthcare Provider Details

I. General information

NPI: 1649114018
Provider Name (Legal Business Name): ADANNA PLASTIC SURGERY, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9025 WILSHIRE BLVD STE 202
BEVERLY HILLS CA
90211-1825
US

IV. Provider business mailing address

5110 TELEGRAPH AVE UNIT 627
OAKLAND CA
94609-1982
US

V. Phone/Fax

Practice location:
  • Phone: 310-614-0089
  • Fax: 310-602-6426
Mailing address:
  • Phone: 786-495-7676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EVA ADANNA WILLIAMS
Title or Position: PLASTIC & RECONSTRUCTIVE SURGEON
Credential: MD, MPH, MS
Phone: 786-495-7676