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Ellen E. Edwards, DO
Family Medicine Physician in San Diego, California
NPI 1245332923

Ellen E. Edwards is a Family Medicine Physician based in San Diego, CA. Ellen E. Edwards practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Ellen E. Edwards is 1245332923 and holds a License No. 20A8613 (California).

The current practice location address for Ellen E. Edwards is 15025 Innovation Dr, San Diego, CA and can be reached out via phone at 858-806-7944.

Location: 15025 Innovation Dr, San Diego, CA, 92127-5705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245332923
Provider Name
Ellen E. Edwards
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
15025 Innovation Dr, San Diego, CA, 92127-5705
Phone Number
858-806-7944
Fax Number
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00728795 01 CA RRM
020A86130 01 CA BLUE SHIELD OF CA
00AX86130 05 CA
institution
Provider Business Practice Location Address Details
Address
15025 Innovation Dr
City
San Diego
State
California
Zip
92128-3409
Phone Number
858-806-7944
Fax Number
person
Provider Business Mailing Address Details
Address
15025 Innovation Dr
City
San Diego
State
California
Zip
92128-3409
Phone Number
858-806-7944
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
20A8613 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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