ADAM SHANDROW
NPI 1023851003
Clinic/Center - Adult Mental Health in Costa Mesa, CA
- Individual
- Male
- Clinic/Center
- Adult Mental Health
About ADAM SHANDROW
This page provides the complete NPI Profile along with additional information for Adam Shandrow, a provider established in Costa Mesa, California with a medical specialization in Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1023851003 assigned on June 2024. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1023851003 Verify this NPI
- Provider Name
- ADAM SHANDROW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1730 POMONA AVE COSTA MESA, CA 92627
- Location Phone
- (562) 972-3955
- Mailing Address
- 1730 POMONA AVE COSTA MESA, CA 92627
- Mailing Phone
- (562) 972-3955
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-17-2024
- Last Update Date
- 08-01-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
COSTA MESA, CA 92627
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023851003, enumerated as an "individual" on June 17, 2024.
The provider is located at 1730 POMONA AVE COSTA MESA, CA 92627 and the phone number is (562) 972-3955.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
