Marwan Edris Md A Professional Corporation

LBN: Marwan Edris Md A Professional Corporation
Marwan Edris Md A Professional Corporation is an health care organization with primary practice located at 25283 Cabot Rd Ste 106 Suite 106, Laguna Hills CA 92653-5509. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Marwan Edris Md A Professional Corporation can be contacted via phone (949) 364-9080, or through Edris, Marwan via phone (949) 364-9080.

Contact Information

Primary practice address
25283 Cabot Rd Ste 106 Suite 106 Laguna Hills CA 92653-5509
Fax: (949) 364-3856
Website:
Authorized official contact:
Name: Edris, Marwan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1205869427
LBN Legal business name Marwan Edris Md A Professional Corporation
DBA Doing business as
Authorized official Edris, Marwan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated May 1st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205869427 NPPES
California Other W16626 MEDICARE ID NUMBER
California Other A42896 MEDICARE ID NUMBER

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