Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MARWAN EDRIS MD A PROFESSIONAL CORPORATION
Active
Organization
MARWAN EDRIS MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARWAN EDRIS M.D. (OWNER/PHYSICIAN)
(949) 364-9080
Entity
Organization
Contact information
Practice address
25283 CABOT RD STE 106, SUITE 106, LAGUNA HILLS, CA 92653-5509
(949) 364-9080
(949) 364-3856
Mailing address
25283 CABOT RD STE 106, SUITE 106, LAGUNA HILLS, CA 92653-5509
(949) 364-9080
(949) 364-3856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42896
LICENSE
CA
01
—
W16626
MEDICARE ID NUMBER
CA
Enumeration date
07/09/2006
Last updated
05/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up