Provider Demographics
NPI:1972973543
Name:ADAMITA, MABEL
Entity Type:Individual
Prefix:
First Name:MABEL
Middle Name:
Last Name:ADAMITA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEJANDRA
Other - Middle Name:
Other - Last Name:ADAMITA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CERTIFIED MEDICAL IN
Mailing Address - Street 1:13823 AVENIDA ESPANA
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-3406
Mailing Address - Country:US
Mailing Address - Phone:323-376-5995
Mailing Address - Fax:
Practice Address - Street 1:13823 AVENIDA ESPANA
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-3406
Practice Address - Country:US
Practice Address - Phone:323-376-5995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter