Tellez, Edwardo

Tellez, Edwardo is an individual health care provider with primary practice located at 16510 Bloomfield Ave , Cerritos CA 90703-9346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tellez, Edwardo can be contacted via phone (562) 229-0902.

Contact Information

Primary practice address
16510 Bloomfield Ave Cerritos CA 90703-9346
Phone: (562) 229-0902
Fax: (562) 229-0952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G63350 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 63350 California

Profile Details

NPI number 1104833516
LBN Legal business name Tellez, Edwardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 25th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104833516 NPPES
California Other 00G63350 BLUE SHIELD
California MEDICAID 00G63350C BLUE SHIELD
California Other 370020277 BLUE SHIELD
California Other 370020277 BLUE SHIELD
California MEDICAID 00G633500 BLUE SHIELD

Popular Providers