Edralin, Gerard Gary
Edralin, Gerard Gary is an individual health care provider with primary practice located at 1037 W Avenue N Suite 202, Palmdale CA 93551-2002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Edralin, Gerard Gary can be contacted via phone (661) 266-8400.Contact Information
Primary practice address
1037 W Avenue N Suite 202
Palmdale CA 93551-2002
Phone: (661) 266-8400
Fax: (661) 266-8597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G40545 | California |
Profile Details
| NPI number | 1518044809 |
|---|---|
| LBN Legal business name | Edralin, Gerard Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Aug 8th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518044809 | NPPES |
| California | MEDICAID | 00G405450 |
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