Provider Demographics
NPI:1073573515
Name:KRAHLING, ADAM D (OD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:D
Last Name:KRAHLING
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15744 CRESWICK DR
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1504
Mailing Address - Country:US
Mailing Address - Phone:562-743-6858
Mailing Address - Fax:562-943-4972
Practice Address - Street 1:14329 WOODRUFF AVE
Practice Address - Street 2:SUITE E
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-3260
Practice Address - Country:US
Practice Address - Phone:562-867-8302
Practice Address - Fax:562-867-7046
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 5236 TPA152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management