Provider Demographics
NPI:1891714226
Name:ORSZAG, ADAM JONATHAN (D,C)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JONATHAN
Last Name:ORSZAG
Suffix:
Gender:M
Credentials:D,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 HIGUERA ST
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-2915
Mailing Address - Country:US
Mailing Address - Phone:805-544-6325
Mailing Address - Fax:805-544-6365
Practice Address - Street 1:1437 HIGUERA ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2915
Practice Address - Country:US
Practice Address - Phone:805-544-6325
Practice Address - Fax:805-544-6365
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU53678Medicare UPIN