Pumphrey, Edward Allen

Pumphrey, Edward Allen is an sole proprietor health care provider with primary practice located at 438 W Las Tunas Dr , San Gabriel CA 91776-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pumphrey, Edward Allen can be contacted via phone (626) 289-5454.

Contact Information

Primary practice address
438 W Las Tunas Dr San Gabriel CA 91776-1216
Phone: (626) 289-5454
Fax: (626) 457-7172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G24667 California

Profile Details

NPI number 1750305439
LBN Legal business name Pumphrey, Edward Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jul 14th, 2014 - about 11 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 1750305439 NPPES
California Other 00G246670 BLUE SHIELD
California MEDICAID 00G246670 BLUE SHIELD

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