Russell P Edwards, Md Apc

LBN: Russell P Edwards, Md Apc
Russell P Edwards, Md Apc is an health care organization with primary practice located at 3969 4Th Ave Suite 301, San Diego CA 92103-3165. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Russell P Edwards, Md Apc can be contacted via phone (619) 291-6191, or through Edwards, Russell P via phone (619) 291-6191.

Contact Information

Primary practice address
3969 4Th Ave Suite 301 San Diego CA 92103-3165
Phone: (619) 291-6191
Fax: (619) 291-0049
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Russell P Doctor of Medicine (MD)
Phone: (619) 291-6191

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G57008 California

Profile Details

NPI number 1093854705
LBN Legal business name Russell P Edwards, Md Apc
DBA Doing business as
Authorized official Edwards, Russell P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 6th, 2015 - about 11 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 1093854705 NPPES
California MEDICAID 00G570080
California Other WG57008B

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