Provider Demographics
NPI:1497743702
Name:ABROMS, ADAM D (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:D
Last Name:ABROMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4353 PARK TERRACE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4639
Mailing Address - Country:US
Mailing Address - Phone:805-987-5300
Mailing Address - Fax:818-707-7668
Practice Address - Street 1:4353 PARK TERRACE DR STE 150
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361
Practice Address - Country:US
Practice Address - Phone:805-987-5300
Practice Address - Fax:818-707-7668
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG73707207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG73707OtherMEDICAL LICENSE #
CAG17743Medicare UPIN