Healthcare Provider Details

I. General information

NPI: 1659802429
Provider Name (Legal Business Name): ADRIENNE SCHLATTER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 THE CITY DR S
ORANGE CA
92868-3303
US

IV. Provider business mailing address

401 THE CITY DR S
ORANGE CA
92868-3303
US

V. Phone/Fax

Practice location:
  • Phone: 714-935-8354
  • Fax:
Mailing address:
  • Phone: 714-935-8354
  • Fax: 714-935-7966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number17090
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number61066147
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License Number20A17090
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: