Individual
EDWIN SAMUEL KULUBYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3605 LONG BEACH BLVD STE 320, LONG BEACH, CA 90807-4025
(714) 234-7485
(714) 701-1071
Mailing address
3605 LONG BEACH BLVD STE 320, LONG BEACH, CA 90807-4025
(714) 234-7485
(714) 701-1071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
L1100
TX
208VP0000X
Pain Medicine Physician
Primary
G54189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159375801
—
TX
Enumeration date
07/18/2006
Last updated
08/16/2021
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