Edelen, John S.
Edelen, John S. is an individual health care provider with primary practice located at 3300 Webster St Ste 702 , Oakland CA 94609-3122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Edelen, John S. can be contacted via phone (510) 549-4220.Contact Information
Primary practice address
3300 Webster St Ste 702
Oakland CA 94609-3122
Phone: (510) 549-4220
Fax: (510) 433-0744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G26272 | California |
Profile Details
| NPI number | 1831183383 |
|---|---|
| LBN Legal business name | Edelen, John S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | May 8th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831183383 | NPPES |
| California | MEDICAID | 00G262720 |
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