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NPI Code Detail

MEDICARE: MS. SHARON NORIKO ADACHI PA-C

MEDICARE: MS. SHARON NORIKO ADACHI PA-C
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
1363A00000XPhysician AssistantPA 12508CA

General Provider Information

NPI Number : 1851503973
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON NORIKO ADACHI PA-C
Provider Business Mailing Address
First Line : 849 WEST 34TH STREET
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-0311
Country : US
Telephone Number : 213-740-9355
Fax Number :
Provider Business Practice Location Address
First Line : 849 WEST 34TH STREET
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-0311
Country : US
Telephone Number : 213-740-9355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ MS. SHARON NORIKO ADACHI PA-C” Practice Location

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