MEDICARE: DR. TODD ADAMS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC13434	CA

General Provider Information

NPI Number	:	1174634901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD ADAMS D.C.

Provider Business Mailing Address
First Line	:	2787 BRISTOL ST STE 102
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-5956
Country	:	US
Telephone Number	:	714-556-9188
Fax Number	:	714-957-3825

Provider Business Practice Location Address
First Line	:	2787 BRISTOL ST STE 102
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-5956
Country	:	US
Telephone Number	:	714-556-9188
Fax Number	:	714-957-3825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. TODD ADAMS D.C.” Practice Location

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