Individual
ARYEH EDELIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #214,365,530,420,120, LOS ANGELES, CA 90095
(310) 825-0631
Mailing address
FILE #55737, LOS ANGELES, CA 90074
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A22734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A227340
MEDICAL PPIN #
CA
Enumeration date
07/12/2006
Last updated
07/08/2007
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