Search › California › 1835P1200X
Jerry Edwards
NPI 1689960775 · on the registry since 2011
Practice
- Address
- 914 Tait St.Reet
Oceanside, CA 92054 - Phone
- (760) 644-5958
Registry record
- Primary taxonomy
- 1835P1200X
1835P1200X
- Also registered as
- 1835P1200X
- Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-27
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