Provider Demographics
NPI:1346988987
Name:SCHMOLL, ADELAIDE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ADELAIDE
Middle Name:MARIE
Last Name:SCHMOLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 E DAVID BLVD APT 3
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3574
Mailing Address - Country:US
Mailing Address - Phone:850-292-5886
Mailing Address - Fax:
Practice Address - Street 1:4650 SUNSET BLVD, LOS ANGELES, CA 90027
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:323-660-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program