Healthcare Provider Details

I. General information

NPI: 1477416964
Provider Name (Legal Business Name): ADAB HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28647 GUNTER RD
RANCHO PALOS VERDES CA
90275
US

IV. Provider business mailing address

28647 GUNTER RD
RANCHO PALOS VERDES CA
90275
US

V. Phone/Fax

Practice location:
  • Phone: 310-500-8204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BEHESHTEH ADABZADEH
Title or Position: OWNER
Credential: NP
Phone: 310-500-8204