Organization
HERBERT EIDT MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT EIDT MD (PRESIDENT AND CEO)
(703) 505-0001
Entity
Organization
Contact information
Practice address
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
(949) 364-2154
(949) 364-2110
Mailing address
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C54254
CA
Other
Enumeration date
08/01/2010
Last updated
08/01/2010
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