Dr. Adly Mansour Issa , MD
General Practice • Fountain Valley, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Adly Issa has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Adly Issa, MD was a registered General Practice practicing in Fountain Valley, CA. Throughout an active medical career spanning 8 years, Dr. Issa provided care at the practice location at 17150 EUCLID ST until profile deactivation on 2017-06-05.
Practice Location & Contact Primary Location
17150 Euclid St
Suite 200
Fountain Valley, CA 927084092
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Fountain Valley, CA
Practicing in Fountain Valley, CA (2300 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
General Practice
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Student in an Organized Health Care Education/Training Program
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Hospitalist
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 05, 2017
NPI status registered as active in NPPES database
Registered at 17150 EUCLID ST, SUITE 200, FOUNTAIN VALLEY, CA 927084092 (Tel: 7147510995)
Registered at 17150 EUCLID ST, SUITE 200, FOUNTAIN VALLEY, CA 927084092 (Tel: 7147510995)
Recorded as ADLY ISSA, M.D
General Practice (License #A34603 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
17150 Euclid St, Suite 200
Fountain Valley, CA 927084092
Phone: 7147510995
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