Adam Shandrow
Adam Shandrow is an Adult Mental Health Clinic/Center in Costa Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1730 Pomona AveCosta Mesa, CA 92627-3628
Phone: (562) 972-3955
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Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1023851003 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2024 |
| Last updated in NPPES | August 1, 2024 |
| Certification date | August 1, 2024 |
| Mailing address | 1730 Pomona Ave, Costa Mesa, CA 92627-3628 |
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