Philippe Edouard, M.D., Inc.

LBN: Philippe Edouard, M.D., Inc.
Philippe Edouard, M.D., Inc. is an health care organization with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Philippe Edouard, M.D., Inc. can be contacted via phone (707) 546-3210, or through Edouard, Philippe Robert via phone (707) 322-5679.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (707) 546-3210
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edouard, Philippe Robert Doctor of Medicine (MD)
Phone: (707) 322-5679

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C51257 California

Profile Details

NPI number 1154377109
LBN Legal business name Philippe Edouard, M.D., Inc.
DBA Doing business as
Authorized official Edouard, Philippe Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Mar 24th, 2008 - about 17 years ago

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 1154377109 NPPES
California MEDICAID 00C512570

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