Edris, Marwan
Edris, Marwan is an sole proprietor health care provider with primary practice located at 25283 Cabot Road Suite 106, Laguna Hills CA 92653. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Edris, Marwan can be contacted via phone (949) 364-9080.Contact Information
Primary practice address
25283 Cabot Road Suite 106
Laguna Hills CA 92653
Phone: (949) 364-9080
Fax: (949) 364-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A42896 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A42896 | California |
Profile Details
| NPI number | 1013045970 |
|---|---|
| LBN Legal business name | Edris, Marwan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | May 1st, 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 | 1013045970 | NPPES |
| California | Other | 710870022 | TAX ID # |
| California | Other | A42896 | TAX ID # |
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