Individual provider · NPI-1

Eduardo Ajuria, MD

Family Medicine · Baldwin Park, CA

NPI number1104997097
StatusActive
Last updated in NPPESSep 23, 2008

Details

NPI
1104997097
Entity type
Individual (NPI-1)
Name
Eduardo Ajuria
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2006
Last updated
Sep 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineG40046CAYes

Practice location

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Phone 626-851-1011

Mailing address

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Phone 626-851-1011

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