Dr. Edward Earl Gundrum II
Anesthesiologist
10950 Church St Apt. 4423
Rancho Cucamonga
, California 91730-8056
Dr. Edward Earl Gundrum II
Anesthesiologist
10950 Church St Apt. 4423
Rancho Cucamonga
, California 91730-8056
(951) 486-4574
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Edward Earl Gundrum II
- 26520 Cactus Ave Anesthesia Department
- Moreno Valley, CA
- Zip : 92555-3927
- Phone : (951) 486-4574
Second Address
- Dr. Edward Earl Gundrum II
- 10950 Church St Apt. 4423
- Rancho Cucamonga, CA
- Zip : 91730-8056
- Phone : (909) 941-9718
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 20A8979 | CA |
National Provider Identifier
| NPI | 1013119734 |
|---|---|
| Provider Name | Dr. Edward Earl Gundrum II |
| First Address | Moreno Valley, CA 92555-3927 |
| Second Address | Rancho Cucamonga, CA 91730-8056 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2007 |
| Last Update Date | 13/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.