Individual
EDDIE YEE DESCALLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1800 WILSHIRE BLVD, LOS ANGELES, CA 90057-3602
(213) 484-9934
(213) 484-9939
Mailing address
9547 VIA SALERNO, BURBANK, CA 91504-1225
(818) 489-2132
(818) 252-1330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629386230
—
CA
Enumeration date
09/16/2010
Last updated
12/28/2012
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