Organization
MARC A. EDELSTEIN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ANDREW EDELSTEIN M.D. (PRESIDENT)
(310) 659-1300
Entity
Organization
Contact information
Practice address
150 N ROBERTSON BLVD, SUITE 204, BEVERLY HILLS, CA 90211-2142
(310) 659-1300
(310) 659-4300
Mailing address
150 N ROBERTSON BLVD, SUITE 204, BEVERLY HILLS, CA 90211-2142
(310) 659-1300
(310) 659-4300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A61509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669488821
TYPE 1 NPI
CA
Enumeration date
04/26/2007
Last updated
07/09/2008
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