MEDICARE: ADAM JOSEPH KAPITZ PA

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1194379149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM JOSEPH KAPITZ PA

Provider Business Mailing Address
First Line	:	180 S LAKE AVE STE 615
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-4763
Country	:	US
Telephone Number	:	866-536-5918
Fax Number	:	310-777-2702

Provider Business Practice Location Address
First Line	:	180 S LAKE AVE STE 615
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-4763
Country	:	US
Telephone Number	:	866-536-5918
Fax Number	:

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

Provider Enumeration Date	:	07/29/2019
Last Update Date	:	07/30/2024

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Directions to “ ADAM JOSEPH KAPITZ PA” Practice Location

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