Edralin, Gerard Gary

Edralin, Gerard Gary is an individual health care provider with primary practice located at 1037 W Avenue N Suite 202, Palmdale CA 93551-2002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Edralin, Gerard Gary can be contacted via phone (661) 266-8400.

Contact Information

Primary practice address
1037 W Avenue N Suite 202 Palmdale CA 93551-2002
Phone: (661) 266-8400
Fax: (661) 266-8597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G40545 California

Profile Details

NPI number 1518044809
LBN Legal business name Edralin, Gerard Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 8th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518044809 NPPES
California MEDICAID 00G405450

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