Individual
DR. EDWARDO TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16510 BLOOMFIELD AVE, CERRITOS, CA 90703-9346
(562) 229-0902
(562) 229-0952
Mailing address
75 REMITTANCE DRIVE DEPT 6008, CHICAGO, CA 60675-6008
(562) 282-1419
(562) 920-4642
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63350
CA
208000000X
Pediatrics Physician
G63350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G63350
BLUE SHIELD
CA
05
—
00G633500
—
CA
05
—
00G63350C
—
CA
01
—
370020277
MEDICARE RAILROAD
CA
Enumeration date
08/01/2006
Last updated
07/25/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us