Individual
DR. EDNA K TAIKWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 E GARVEY AVE, MONTEREY PARK, CA 91755-3024
(626) 312-5488
(626) 312-5455
Mailing address
705 E GARVEY AVE, MONTEREY PARK, CA 91755-3024
(626) 312-5488
(626) 312-5455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A54127
CA
208D00000X
General Practice Physician
Primary
A54127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A541270
—
CA
Enumeration date
05/26/2006
Last updated
05/01/2013
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