Cornejo, Edward
Cornejo, Edward is an individual health care provider with primary practice located at 2900 Bristol St Ste J108 , Costa Mesa CA 92626-7919. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Cornejo, Edward can be contacted via phone (714) 307-6640.Contact Information
Primary practice address
2900 Bristol St Ste J108
Costa Mesa CA 92626-7919
Phone: (714) 307-6640
Fax: (949) 612-3821
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 28506 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 28506 | California |
Profile Details
NPI number | 1245470319 |
---|---|
LBN Legal business name | Cornejo, Edward |
Credentials | PT, MPT, CFMT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2009 |
Last updated | Feb 6th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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