Basic Information
Provider Information
NPI: 1457518276
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADLER
FirstName: MARGARET
MiddleName: MOSCATO
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5767 W. CENTURY BLVD
Address2: SUITE 400
City: LOS ANGELES
State: CA
PostalCode: 900455655
CountryCode: US
TelephoneNumber: 3103018707
FaxNumber: 3103018712
Practice Location
Address1: 1801 WILSHIRE BLVD
Address2:  
City: SANTA MONICA
State: CA
PostalCode: 904035609
CountryCode: US
TelephoneNumber: 3103195098
FaxNumber: 3103194552
Other Information
ProviderEnumerationDate: 05/20/2008
LastUpdateDate: 10/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X251190MAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400XA109903CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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