Individual
DR. EDWARD R.B. MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20232
CO
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
G39458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G394580
—
CA
05
—
42459362
—
CO
05
—
GR0053510
—
CA
Enumeration date
08/17/2006
Last updated
02/19/2013
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