MEDICARE: KATARZYNA ADAMSKA

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	1223G0001X	General Practice Dentistry	55694	CA

General Provider Information

NPI Number	:	1497462220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATARZYNA ADAMSKA

Provider Business Mailing Address
First Line	:	2731 MANHATTAN BEACH BLVD
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-1602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2731 MANHATTAN BEACH BLVD
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-1602
Country	:	US
Telephone Number	:	310-643-0880
Fax Number	:

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

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	11/01/2022

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Directions to “ KATARZYNA ADAMSKA ” Practice Location

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