Edillon, Edwin L
Edillon, Edwin L is an sole proprietor health care provider with primary practice located at 222 N Sunset Ave Suite F, West Covina CA 91790-2278. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Edillon, Edwin L can be contacted via phone (626) 338-1016.Contact Information
Primary practice address
222 N Sunset Ave Suite F
West Covina CA 91790-2278
Phone: (626) 338-1016
Fax: (626) 960-5909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A38045 | California |
Profile Details
| NPI number | 1982602298 |
|---|---|
| LBN Legal business name | Edillon, Edwin L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jun 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982602298 | NPPES |
| California | MEDICAID | 00A380450 |
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