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Individual

DR. EDRIS ZAID ALDERWISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033-5312
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276160
NY
207RC0000X
Cardiovascular Disease Physician
276160
NY
207RI0011X
Interventional Cardiology Physician
Primary
A172624
CA

Other

Enumeration date
04/07/2010
Last updated
10/18/2022
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