Organization
EDGARDO M CAPITULO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARDO M CAPITULO MD (PRESIDENT)
(818) 882-7656
Entity
Organization
Contact information
Practice address
1411 W SUNSET BLVD, SUITE 203, LOS ANGELES, CA 90026-3431
(213) 482-8313
(213) 481-7383
Mailing address
7657 WINNETKA AVE, SUITE 267, CANOGA PARK, CA 91306-2677
(818) 882-7656
(818) 773-9517
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A43464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A434640
—
CA
Enumeration date
01/18/2007
Last updated
10/20/2008
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