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Judith Edmundson

NPI 1134625908 · on the registry since 2018 · sole proprietor

Practice

Address
3624 Margaret Fowler Ct
Chino Hills, CA 91709
Phone
(909) 740-3133
Fax
(909) 306-5427
Organisation at this address
Boys Republic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California