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General NPI Number Information
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NPI Number | 1457469371
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Entity Type | Individual
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Provider Name | ADAM MICHAEL ROTUNDA MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1100 QUAIL ST SUITE 102
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2701
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Country | US
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Telephone | 949-336-7171
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Fax | 949-336-7172
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Provider Business Mailing Address
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Address Line | 50 TOWNSEND
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City | IRVINE
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State | CA
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Zip | 92620-2820
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Country | US
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Telephone | 949-336-7288
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Fax | 949-336-7172
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | A81640
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A81640
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A81640
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License Number State | CA
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