Organization
RONALD J. EDELSON MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J EDELSON M.D. (PRESIDENT)
(858) 452-9900
Entity
Organization
Contact information
Practice address
9339 GENESEE AVE STE P39, SAN DIEGO, CA 92121-2120
(858) 452-9900
(858) 750-1474
Mailing address
9339 GENESEE AVE STE P39, SAN DIEGO, CA 92121-2120
(858) 452-9900
(858) 750-1474
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G59765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2036558
CORPORATION NUMBER
CA
Enumeration date
03/03/2011
Last updated
03/03/2011
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