Provider Demographics
NPI:1497917439
Name:ADAMOUS, HOOMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:HOOMAN
Middle Name:
Last Name:ADAMOUS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:HOOMAN
Other - Middle Name:
Other - Last Name:ADAMOUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
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:310-405-4393
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
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0238401223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery