W Allan Edmiston Md A Medical Corporation

LBN: W Allan Edmiston Md A Medical Corporation
W Allan Edmiston Md A Medical Corporation is an health care organization with primary practice located at 55 E California Blvd Fl 3 , Pasadena CA 91105-3944. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. W Allan Edmiston Md A Medical Corporation can be contacted via phone (626) 793-1227, or through Biggles, Tracy D via phone (626) 793-1227.

Contact Information

Primary practice address
55 E California Blvd Fl 3 Pasadena CA 91105-3944
Fax: (626) 793-3794
Website:
Authorized official contact:
Name: Biggles, Tracy D

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G23064 California

Profile Details

NPI number 1710395942
LBN Legal business name W Allan Edmiston Md A Medical Corporation
DBA Doing business as
Authorized official Biggles, Tracy D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2014
Last updated Nov 20th, 2014 - about 10 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 1710395942 NPPES
California Other G23064 STATE LIC

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