Provider Demographics
NPI:1316400252
Name:HOOMAN ADAMOUS DMD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HOOMAN ADAMOUS DMD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOOMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMOUS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:562-866-1111
Mailing Address - Street 1:14343 BELLFLOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-3135
Mailing Address - Country:US
Mailing Address - Phone:562-866-1111
Mailing Address - Fax:562-866-1130
Practice Address - Street 1:14343 BELLFLOWER BLVD
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-3135
Practice Address - Country:US
Practice Address - Phone:562-866-1111
Practice Address - Fax:562-866-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery