Provider Demographics
NPI:1316172836
Name:SUGIHARA, ADAM QUASAR (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:QUASAR
Last Name:SUGIHARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:299 W FOOTHILL BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3806
Mailing Address - Country:US
Mailing Address - Phone:909-870-3033
Mailing Address - Fax:909-949-3802
Practice Address - Street 1:811 E 11TH ST STE 207
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4872
Practice Address - Country:US
Practice Address - Phone:909-870-3033
Practice Address - Fax:909-870-3034
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2020-09-04
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Provider Licenses
StateLicense IDTaxonomies
CAA142557208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery