Edgar Ardila Md Inc.

NPI 1043458268 - Internal Medicine - 207RC0200X

NPI Details
NPI 1043458268
Enumeration Date 01/26/2009
Last Updated 10/27/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name EDGAR EDGAR
Position PHYSICIAN
Phone (951) 351-1344
Fax (951) 359-3748
Practice Location
11705 SLATE AVE
SUITE 200
RIVERSIDE CA, 92505-5196, US
Phone (951) 351-1344
Fax (951) 359-3748
Business Location
28030 BLACKBERRY WAY
YORBA LINDA CA, 92887, US
Phone (951) 351-1346
Fax (951) 351-1346
Toxanomy
Taxonomy Code 207RC0200X
License State California
License Number A54539
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According to our database, Edgar Ardila Md Inc. NPI is 1043458268, taxonomy code is 207RC0200X and license number is A54539, license state is located at California. Edgar Ardila Md Inc. physically located at 11705 Slate Ave, Riverside CA, 92505-5196. NPI Number 1033115704 has the healthcare provider type.

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1043458268 NPI number is provided on an as is basis without warranty of any kind. 1043458268 is maintained by the National Plan & Provider Enumeration System. The contents of Edgar Ardila Md Inc. are for informational purposes only.