OrganizationActive
Adrienne Mcgrael Souders MD Inc
NPI 1093979767 · Addiction Medicine (Family Medicine) Physician · San Mateo, CA
Provider details
- NPI number
- 1093979767
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adrienne Mcgrael Souders, Owner(650) 375-7706
- License
- G048839 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Baywood Ave
Ste 5
San Mateo, CA 94402-1537
Phone: (650) 375-7706
Fax: (650) 375-7899
Approximate (ZIP-level) locationGet directions
Mailing address
1 Baywood Ave
San Mateo, CA 94402-1537
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2008-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.