Individual
EDGARDO M CAPITULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 W SUNSET BLVD, SUITE 203, LOS ANGELES, CA 90026-3431
(818) 882-7656
(818) 773-9517
Mailing address
PO BOX 2416, WINNETKA, CA 91396-2416
(818) 882-7656
(818) 773-9517
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A43464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A434640
—
CA
Enumeration date
07/07/2006
Last updated
10/20/2008
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