Provider Demographics
NPI:1932308194
Name:ADEL S. METRY,M.D. INC.
Entity Type:Organization
Organization Name:ADEL S. METRY,M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:METRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-719-1653
Mailing Address - Street 1:1141 W REDONDO BEACH BLVD
Mailing Address - Street 2:#406
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247
Mailing Address - Country:US
Mailing Address - Phone:310-719-1653
Mailing Address - Fax:310-719-1321
Practice Address - Street 1:1141 W REDONDO BEACH BLVD
Practice Address - Street 2:#406
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247
Practice Address - Country:US
Practice Address - Phone:310-719-1653
Practice Address - Fax:310-719-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty