Provider Demographics
NPI:1568590388
Name:ADRIG, LYNDA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:MARIE
Last Name:ADRIG
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 1:3943 IRVINE BLVD # 233
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2400
Mailing Address - Country:US
Mailing Address - Phone:714-426-5300
Mailing Address - Fax:
Practice Address - Street 1:511 NEWCASTLE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620
Practice Address - Country:US
Practice Address - Phone:949-855-7255
Practice Address - Fax:714-417-9578
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65552207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF11144Medicare UPIN
CAG65552Medicare ID - Type Unspecified