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Individual

DR. EDWIN GEORGE CAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3812 SEPULVEDA BLVD, SUITE 340, TORRANCE, CA 90505-2479
(310) 326-5102
(310) 303-7906
Mailing address
3812 SEPULVEDA BLVD, SUITE 340, TORRANCE, CA 90505-2479
(310) 326-5102
(310) 303-7906

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G12654
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G12654
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
EIN 95-2908913
SOLO CORPORATION
CA
Enumeration date
11/13/2006
Last updated
05/07/2009
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