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Organization
NANJO MD PC
Active
Organization
NANJO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN KULUBYA MD (OWNER)
(714) 234-7485
Entity
Organization
Contact information
Practice address
5475 E LA PALMA AVE STE 202, ANAHEIM, CA 92807-2075
(714) 701-1071
(714) 701-1078
Mailing address
5475 E LA PALMA AVE STE 202, ANAHEIM, CA 92807-2075
(714) 701-1071
(714) 701-1078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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