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Dr. Edwin L Edillon, MD
Specialist in West Covina, California
NPI 1982602298

Edwin L Edillon is a Specialist based in West Covina, CA. Edwin L Edillon practices in West Covina, CA and has the professional credentials of MD. The NPI Number for Edwin L Edillon is 1982602298 and holds a License No. A38045 (California).

The current practice location address for Edwin L Edillon is 222 N Sunset Ave, West Covina, CA and can be reached out via phone at 626-338-1016 and via fax at 626-960-5909.

Location: 222 N Sunset Ave, West Covina, CA, 91790-2278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982602298
Provider Name
Edwin L Edillon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
222 N Sunset Ave, West Covina, CA, 91790-2278
Phone Number
626-338-1016
Fax Number
626-960-5909
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A380450 05 CA
institution
Provider Business Practice Location Address Details
Address
222 N Sunset Ave
City
West Covina
State
California
Zip
91790-2278
Phone Number
626-338-1016
Fax Number
626-960-5909
person
Provider Business Mailing Address Details
Address
222 N Sunset Ave
City
West Covina
State
California
Zip
91790-2278
Phone Number
626-338-1016
Fax Number
626-960-5909
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A38045 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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