Individual provider · NPI-1

Carlos Edwards, MD

Physician Assistant · Westminster, CA

NPI number1881752392
StatusActive
Last updated in NPPESDec 27, 2016

Details

NPI
1881752392
Entity type
Individual (NPI-1)
Name
Carlos Edwards
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2006
Last updated
Dec 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA13475CAYes

Practice location

15464 Goldenwest St
Westminster, CA 92683-6149

Phone 714-891-9008

Mailing address

15464 Goldenwest St
Westminster, CA 92683-6149

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