MEDICARE: JOHN S ADAMS MD

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	207X00000X	Orthopaedic Surgery Physician	G48420	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215914114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN S ADAMS MD

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5632
Country	:	US
Telephone Number	:	310-825-0652
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 UCLA MEDICAL PLZ
Second Line	:	SUITE 140
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-8344
Country	:	US
Telephone Number	:	310-825-0652
Fax Number	:

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	04/23/2012

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Directions to “ JOHN S ADAMS MD” Practice Location

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