Organization
EDWARD CARDEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CARDEN MD (OWNER)
(310) 842-8668
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY, SUITE 300, MARINA DEL REY, CA 90292-6358
(310) 842-8668
(310) 842-8668
Mailing address
13160 MINDANAO WAY, SUITE 300, MARINA DEL REY, CA 90292-6358
(310) 842-8668
(310) 842-8669
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A267740
BLUE SHIELD
CA
05
—
00A267740
—
CA
Enumeration date
05/12/2006
Last updated
02/21/2008
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