MEDICARE: ADRIAN DONOVAN SCOTT

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	247200000X	Other Technician		CA

General Provider Information

NPI Number	:	1710624002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN DONOVAN SCOTT

Provider Business Mailing Address
First Line	:	1282 MARKET ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4801
Country	:	US
Telephone Number	:	415-579-2021
Fax Number	:	415-795-3330

Provider Business Practice Location Address
First Line	:	1282 MARKET ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4801
Country	:	US
Telephone Number	:	415-579-3021
Fax Number	:	415-795-3330

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

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	03/05/2026

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Directions to “ ADRIAN DONOVAN SCOTT ” Practice Location

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