Scales, Eddie J
Scales, Eddie J is an sole proprietor health care provider with primary practice located at 17817 Santiago Blvd , Villa Park CA 92861-4133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scales, Eddie J can be contacted via phone (714) 267-6137.Contact Information
Primary practice address
17817 Santiago Blvd
Villa Park CA 92861-4133
Phone: (714) 267-6137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G58330 | California |
Profile Details
| NPI number | 1215152137 |
|---|---|
| LBN Legal business name | Scales, Eddie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Aug 18th, 2021 - about 5 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 | 1215152137 | NPPES |
| California | Other | G58330 | MEDICAL LICENSE |
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