Individual
MR. EDGAR OLIVER SAN LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC, FAANP
Contact information
Practice address
8808 BALBOA AVE, SAN DIEGO, CA 92123-1592
(619) 645-0155
(619) 645-0193
Mailing address
8808 BALBOA AVE, SAN DIEGO, CA 92123-1592
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13312
CA
363LF0000X
Family Nurse Practitioner
APRN-2027
HI
Other
Enumeration date
07/06/2006
Last updated
08/05/2025
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