Individual
DR. H DALE EDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5513 PHILADELPHIA ST, SUITE A, CHINO, CA 91710-7534
(909) 628-1226
(909) 628-5483
Mailing address
5513 PHILADELPHIA ST, SUITE A, CHINO, CA 91710-7534
(909) 628-1226
(909) 628-5483
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05806T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0058060
—
CA
Enumeration date
01/02/2007
Last updated
07/08/2007
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