Provider Demographics
NPI:1699722306
Name:VORPERIAN, ADELINA (MD)
Entity type:Individual
Prefix:DR
First Name:ADELINA
Middle Name:
Last Name:VORPERIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2503
Mailing Address - Country:US
Mailing Address - Phone:818-553-0800
Mailing Address - Fax:818-553-0804
Practice Address - Street 1:6501 FOOTHILL BLVD
Practice Address - Street 2:#101
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2765
Practice Address - Country:US
Practice Address - Phone:818-352-2111
Practice Address - Fax:818-352-5740
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50390207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC50390OtherLICENSE
CAC50390OtherLICENSE
CAF23060Medicare UPIN