MEDICARE: DR. WILLIAM PAUL ADELMAN M.D.

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	2080A0000X	Pediatric Adolescent Medicine Physician	D0052534	MD
2	2080A0000X	Pediatric Adolescent Medicine Physician	MD474870	PA
3	2080A0000X	Pediatric Adolescent Medicine Physician	C191122	CA

General Provider Information

NPI Number	:	1831191386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM PAUL ADELMAN M.D.

Provider Business Mailing Address
First Line	:	1201 W LA VETA AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4203
Country	:	US
Telephone Number	:	714-509-9409
Fax Number	:	714-628-9139

Provider Business Practice Location Address
First Line	:	1201 W LA VETA AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4203
Country	:	US
Telephone Number	:	714-509-9409
Fax Number	:	714-628-9139

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	01/05/2024

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