Marwan Edris M.D.

NPI 1013045970 - Specialist - 174400000X

NPI Details
NPI 1013045970
Gender Male
Enumeration Date 03/01/2007
Last Updated 12/15/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
25283 CABOT ROAD
SUITE 106
LAGUNA HILLS CA, 92653, US
Phone (949) 364-9080
Fax (949) 364-5871
Business Location
25283 CABOT ROAD
SUITE 106
LAGUNA HILLS CA, 92653, US
Phone (949) 364-9080
Fax (949) 364-3856
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A42896
Remove 1013045970 NPI Number
 

According to our database, Dr. Marwan Edris M.D. NPI is 1013045970, taxonomy code is 174400000X and license number is A42896, license state is located at California. Marwan Edris M.D. physically located at 25283 Cabot Road, Laguna Hills CA, 92653. NPI Number Marwan Edris M.D. has the Individual type.

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1013045970 NPI number is provided on an as is basis without warranty of any kind. 1013045970 is maintained by the National Plan & Provider Enumeration System. The contents of Marwan Edris M.D. are for informational purposes only.