Individual
HENRY EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 NORTH TAYLOR AVE, WEAVERVILLE, CA 96093-1229
(530) 623-5541
Mailing address
PO BOX 10609, WESTMINSTER, CA 92685-0609
(877) 818-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G25565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G255650
—
CA
Enumeration date
10/10/2006
Last updated
12/02/2008
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