Individual
DR. MICHAEL MARVIN EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3460 RIDGEFORD DR, WESTLAKE VILLAGE, CA 91361-4818
(818) 707-9778
(818) 874-3655
Mailing address
3460 RIDGEFORD DR, WESTLAKE VILLAGE, CA 91361-4818
(818) 707-9778
(818) 874-3655
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G009107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000G91070
BLUE SHIELD
CA
05
—
000G91070
—
CA
Enumeration date
10/12/2006
Last updated
02/06/2014
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