Individual
EDISON ADLAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7447 SEPULVEDA BLVD, VAN NUYS, CA 91405-1631
(818) 787-3400
Mailing address
9070 COSTELLO AVE, PANORAMA CITY, CA 91402-1916
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8666
CA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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