Malbas, Edgar Nepomuceno

Malbas, Edgar Nepomuceno is an sole proprietor health care provider with primary practice located at 8721 Bald Eagle Dr , Eastvale CA 92880-1097. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Malbas, Edgar Nepomuceno can be contacted via phone (949) 836-2018.

Contact Information

Primary practice address
8721 Bald Eagle Dr Eastvale CA 92880-1097
Phone: (949) 836-2018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT24015 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT24015 California

Profile Details

NPI number 1487767653
LBN Legal business name Malbas, Edgar Nepomuceno
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Aug 22nd, 2014 - 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 1487767653 NPPES
California Other OPT240150 BLUE SHIELD

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