Healthcare Provider Details

I. General information

NPI: 1194984765
Provider Name (Legal Business Name): ALEXIS ADAMS LINK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS MARY ADAMS M.D.

II. Dates (important events)

Enumeration Date: 06/08/2008
Last Update Date: 06/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19191 S VERMONT AVE STE 610
TORRANCE CA
90502-1051
US

IV. Provider business mailing address

PO BOX 9445
CHAPEL HILL NC
27515-9445
US

V. Phone/Fax

Practice location:
  • Phone: 310-882-3151
  • Fax: 310-882-3151
Mailing address:
  • Phone: 310-882-3151
  • Fax: 310-882-3151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA103951
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA103951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: