Edward J. Baddour
Emergency Physician
1200 El Camino Real
South San Francisco
, California 94080-3208
Edward J. Baddour
Emergency Physician
1200 El Camino Real
South San Francisco
, California 94080-3208
(510) 625-6262
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Edward J. Baddour
- 1800 Harrison St Fl 7
- Oakland, CA
- Zip : 94612-3466
- Phone : (510) 625-6262
Second Address
- Edward J. Baddour
- 1200 El Camino Real
- South San Francisco, CA
- Zip : 94080-3208
- Phone : (650) 742-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | A63628 | CA |
National Provider Identifier
| NPI | 1013095645 |
|---|---|
| Provider Name | Edward J. Baddour |
| First Address | Oakland, CA 94612-3466 |
| Second Address | South San Francisco, CA 94080-3208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 17/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A636280 | (05) | CA |
| G82364 | (02) |
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.