Kravitz, Edward Charles

Kravitz, Edward Charles is an sole proprietor health care provider with primary practice located at 302 W La Veta Ave Ste. 203, Orange CA 92866-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kravitz, Edward Charles can be contacted via phone (714) 835-4404.

Contact Information

Primary practice address
302 W La Veta Ave Ste. 203 Orange CA 92866-2607
Fax: (714) 532-6563
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X C26238 California

Profile Details

NPI number 1437158847
LBN Legal business name Kravitz, Edward Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Aug 18th, 2008 - about 17 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 1437158847 NPPES
California MEDICAID 00C262380

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