Individual
EDWIN CORNELLE CAVANNAUGH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 E LA PALMA AVE, ANAHEIM, CA 92805-1647
(714) 888-5742
Mailing address
1900 E LA PALMA AVE, ANAHEIM, CA 92805-1647
(714) 888-5742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A174005
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2018
Last updated
07/16/2024
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