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Individual

EDWARD M GENTILE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 814-2434
Mailing address
201 ALABAMA ST, HUNTINGTON BEACH, CA 92648-5205
(714) 374-0445

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G72813
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G728130
CA
Enumeration date
05/30/2006
Last updated
07/08/2007
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