Edgar Ardila Md Inc.

LBN: Edgar Ardila Md Inc.
Edgar Ardila Md Inc. is an health care organization with primary practice located at 11705 Slate Ave Suite 200, Riverside CA 92505-5196. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as the primary health care specialty. Edgar Ardila Md Inc. can be contacted via phone (951) 351-1344, or through Ardila, Edgar via phone (951) 534-3158.

Contact Information

Primary practice address
11705 Slate Ave Suite 200 Riverside CA 92505-5196
Phone: (951) 351-1344
Fax: (951) 359-3748
Website:
Map and Directions
Authorized official contact:
Name: Ardila, Edgar Doctor of Medicine (MD)
Phone: (951) 534-3158

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A54539 California

Profile Details

NPI number 1043458268
LBN Legal business name Edgar Ardila Md Inc.
DBA Doing business as
Authorized official Ardila, Edgar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2009
Last updated Oct 27th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043458268 NPPES
California MEDICAID 00A5453

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