Healthcare Provider Details

I. General information

NPI: 1154157048
Provider Name (Legal Business Name): ESMERALDA ADOLF PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 FREMONT AVE STE 210
LOS ALTOS CA
94024-5602
US

IV. Provider business mailing address

PO BOX 3156
HALF MOON BAY CA
94019-3156
US

V. Phone/Fax

Practice location:
  • Phone: 650-297-3400
  • Fax:
Mailing address:
  • Phone: 650-297-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: