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Walter Allan Edmiston JR., MD
Cardiovascular Disease Physician in Pasadena, California
NPI 1407811128

Walter Allan Edmiston JR. is a Cardiovascular Disease Physician based in Pasadena, CA and is specialized in Cardiovascular Disease. Walter Allan Edmiston JR. practices in Pasadena, CA and has the professional credentials of MD. The NPI Number for Walter Allan Edmiston JR. is 1407811128 and holds a License No. G23064 (California).

The current practice location address for Walter Allan Edmiston JR. is 55 E California Blvd, Pasadena, CA and can be reached out via phone at 626-793-1227 and via fax at 626-793-3794.

Location: 55 E California Blvd, Pasadena, CA, 91105-3944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407811128
Provider Name
Walter Allan Edmiston JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 E California Blvd, Pasadena, CA, 91105-3944
Phone Number
626-793-1227
Fax Number
626-793-3794
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01575801 01 CA MCR RR
G23064 01 CA BLUE SHIELD
G23064 01 CA ST LIC NUMBER
institution
Provider Business Practice Location Address Details
Address
55 E California Blvd
City
Pasadena
State
California
Zip
91105-3944
Phone Number
626-793-1227
Fax Number
626-793-3794
person
Provider Business Mailing Address Details
Address
55 E California Blvd
City
Pasadena
State
California
Zip
91105-3944
Phone Number
626-793-1227
Fax Number
626-793-3794
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
G23064 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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