Individual
EDGARDO DOMINGO REGIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1983 MARENGO ST, LOS ANGELES, CA 90033
(323) 409-7974
Mailing address
1983 MARENGO ST, LOS ANGELES, CA 90033-1370
(323) 409-7974
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
581604
IL
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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