Edwards, Keith C.

Edwards, Keith C. is an individual health care provider with primary practice located at 9300 Campus Point Dr. Ucsd Thornton Hospital Radiology, La Jolla CA 92037-7756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Edwards, Keith C. can be contacted via phone (619) 471-9451.

Contact Information

Primary practice address
9300 Campus Point Dr. Ucsd Thornton Hospital Radiology La Jolla CA 92037-7756
Phone: (619) 471-9451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G33290 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G33290 California

Profile Details

NPI number 1922117894
LBN Legal business name Edwards, Keith C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 14th, 2013 - about 11 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 1922117894 NPPES
California MEDICAID 1922117894
California Other 00G332900

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