Individual
JOEL EIDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 21ST ST, SACRAMENTO, CA 95811-5216
(916) 443-3299
Mailing address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945-8524
(530) 273-4984
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A145569
CA
Other
Enumeration date
07/21/2014
Last updated
07/21/2022
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