Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G53591 | CA |
NPI | 1023072253 |
---|---|
Provider Name | Edgar H Aleman |
First Address | Glendale, CA 91203-4020 |
Second Address | Glendale, CA 91203-4020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 16/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G535910 | (05) | CA |
A93237 | (02) |