Provider Demographics
NPI:1902088834
Name:ADLER, WILLIAM WOLF (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WOLF
Last Name:ADLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23460 CINEMA DR STE G
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1767
Mailing Address - Country:US
Mailing Address - Phone:661-904-5292
Mailing Address - Fax:
Practice Address - Street 1:23460 CINEMA DR STE G
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1767
Practice Address - Country:US
Practice Address - Phone:661-904-5292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22953111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA47-2336310OtherEIN