Edmiston, Walter Allan
Edmiston, Walter Allan is an sole proprietor health care provider with primary practice located at 55 E California Blvd 3Rd Floor, Pasadena CA 91105-3944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Edmiston, Walter Allan can be contacted via phone (626) 793-1227.Contact Information
Primary practice address
55 E California Blvd 3Rd Floor
Pasadena CA 91105-3944
Phone: (626) 793-1227
Fax: (626) 793-3794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G23064 | California |
Profile Details
| NPI number | 1407811128 |
|---|---|
| LBN Legal business name | Edmiston, Walter Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Feb 5th, 2016 - about 8 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 | 1407811128 | NPPES |
| California | Other | P01575801 | MCR RR |
| California | Other | G23064 | MCR RR |
| California | Other | G23064 | MCR RR |
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