Provider Demographics
NPI:1649347667
Name:BURROWS, ADRIENNE NICOLE BELL (MD)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:NICOLE BELL
Last Name:BURROWS
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 1:2001 SANTA MONICA BLVD STE 1265W
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2229
Mailing Address - Country:US
Mailing Address - Phone:424-888-6298
Mailing Address - Fax:424-456-3642
Practice Address - Street 1:2001 SANTA MONICA BLVD STE 1265W
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2229
Practice Address - Country:US
Practice Address - Phone:424-888-6298
Practice Address - Fax:424-456-3642
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83277207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A832770Medicaid
CA00A832770Medicaid