Individual
DR. EDWARD CEFALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
RHL128733
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G35876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G358760
BCBS
CA
05
—
1992710131
—
CA
01
—
CA195365
NORTHERN CA
CA
01
—
CB249210
SOUTHERN CA
CA
01
—
P00610090
RR MEDICARE
CA
01
—
WG35876B
MEDICARE PTAN
CA
Enumeration date
07/29/2006
Last updated
07/02/2024
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