Individual
DR. ELIJAH MICHAEL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2000
Mailing address
5820 OWENS DR BLDG E FL 2, PLEASANTON, CA 94588-3900
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
52770
MN
207P00000X
Emergency Medicine Physician
A129425
CA
207P00000X
Emergency Medicine Physician
Primary
DR.0047831
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020492
KAISER COMMERCIAL NUMBER
CO
05
—
81655851
—
CO
Enumeration date
05/14/2007
Last updated
08/22/2025
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