Gentile, Edward M

Gentile, Edward M is an individual health care provider with primary practice located at 1115 S Sunset Ave , West Covina CA 91790-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gentile, Edward M can be contacted via phone (626) 814-2434.

Contact Information

Primary practice address
1115 S Sunset Ave West Covina CA 91790-3940
Phone: (626) 814-2434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G72813 California

Profile Details

NPI number 1851348288
LBN Legal business name Gentile, Edward M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851348288 NPPES
California MEDICAID 00G728130

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