| Eidelson Md Llc | |
|
9765 Caneria Way Elk Grove CA 95757-6225 | |
| (805) 453-9178 | |
| Not Available |
| Full Name | Eidelson Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 9765 Caneria Way, Elk Grove, California |
| Authorized Official Name and Position | Joel R Eidelson (OWNER) |
| Authorized Official Contact | 8054539178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eidelson Md Llc 9765 Caneria Way Elk Grove CA 95757-6225 Ph: (805) 453-9178 | Eidelson Md Llc 9765 Caneria Way Elk Grove CA 95757-6225 Ph: (805) 453-9178 |
| NPI Number | 1245011907 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245011907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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