Individual
EDVIN DILANCHIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 639-9401
Mailing address
1934 CALLE SIRENA, GLENDALE, CA 91208-3033
(818) 823-0347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A126746
CA
208M00000X
Hospitalist Physician
Primary
A126746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
TYPE 2 NPI
CA
01
—
A126746
MEDICAL LICENSE NUMBER
CA
Enumeration date
10/28/2008
Last updated
10/18/2018
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