Individual
DR. EDWARD S COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 289-5454
Mailing address
FILE 57430, LOS ANGELES, CA 90074-0001
(800) 819-2424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G22095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G220950
BLUE SHIELD
—
05
—
00G220950
—
CA
01
—
G22095
BLUE CROSS
CA
Enumeration date
06/09/2006
Last updated
12/14/2007
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