Edward N Elmendorf Iii
M.D. | Pediatrics | Male
Edward N Elmendorf Iii, M.D. is a Loma Linda, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Edward N Elmendorf Iii is
11370 Anderson St, Ste B-100, Loma Linda, California - 92354-3450. He can be contacted on phone at
909-558-2848.
Edward N Elmendorf Iii is a sole proprietor of his business.
NPI number (Unique professional ID) for Edward N Elmendorf Iii is
1790705176 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 08 Jul, 2007.
Edward N Elmendorf Iii license number is
G32620 for Pediatrics (208000000X) in California.
Edward N Elmendorf Iii is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Edward N Elmendorf Iii basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Edward N Elmendorf Iii |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Edward N Elmendorf Iii address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11370 Anderson St, Ste B-100
Loma Linda, CA, 92354-3450
United States |
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| Phone Number : | 909-558-2848 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790705176 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward N Elmendorf Iii are as mentioned. Primary taxonomy code for Edward N Elmendorf Iii, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G32620 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Edward N Elmendorf Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G326200 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 54701 File Number
Los Angeles, CA, 90074-4701
United States |
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| Phone Number : | 909-558-3111 |
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Business Location:
Patients can refer following map for directions to
Edward N Elmendorf Iii practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.