Provider Demographics
NPI:1447384490
Name:ALTMAN, ADRIENNE C (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:C
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23861 MCBEAN PKWY
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2058
Mailing Address - Country:US
Mailing Address - Phone:661-254-3232
Mailing Address - Fax:661-254-4212
Practice Address - Street 1:23861 MCBEAN PKWY
Practice Address - Street 2:SUITE B-2
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2058
Practice Address - Country:US
Practice Address - Phone:661-254-3232
Practice Address - Fax:661-254-4212
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG46651208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics