Fuyana, Edvina Samkeliso

Fuyana, Edvina Samkeliso is an individual health care provider with primary practice located at 17981 Sky Park Cir Bldg 39 , Irvine CA 92614-6309. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fuyana, Edvina Samkeliso can be contacted via phone (877) 896-7350.

Contact Information

Primary practice address
17981 Sky Park Cir Bldg 39 Irvine CA 92614-6309
Phone: (877) 896-7350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 95017106 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 213866 Georgia

Profile Details

NPI number 1972187482
LBN Legal business name Fuyana, Edvina Samkeliso
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2021
Last updated Jan 12th, 2022 - about 4 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.

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