Lew, Edmund H.

Lew, Edmund H. is an sole proprietor health care provider with primary practice located at 1505 Wilson Ter Ste. 250, Glendale CA 91206-4071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lew, Edmund H. can be contacted via phone (818) 246-7115.

Contact Information

Primary practice address
1505 Wilson Ter Ste. 250 Glendale CA 91206-4071
Fax: (818) 246-8352
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G55213 California

Profile Details

NPI number 1528027836
LBN Legal business name Lew, Edmund H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Jul 16th, 2010 - about 14 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 1528027836 NPPES
California MEDICAID 00G552130

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