Provider Demographics
NPI:1962728238
Name:DOST, ADAM MASOOD (DO)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:MASOOD
Last Name:DOST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:ADAM
Other - Middle Name:M
Other - Last Name:DOST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:4865 PEARCE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1142
Mailing Address - Country:US
Mailing Address - Phone:310-490-3855
Mailing Address - Fax:
Practice Address - Street 1:4865 PEARCE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1142
Practice Address - Country:US
Practice Address - Phone:310-490-3855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11931207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine