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
Phone: (818) 246-7115
Fax: (818) 246-8352
Website:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528027836 | NPPES |
| California | MEDICAID | 00G552130 |
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