| Daled Md Group Inc | |
|
7537 Laurel Canyon Blvd Unit A North Hollywood CA 91605-3149 | |
| (818) 858-0211 | |
| Not Available |
| Full Name | Daled Md Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7537 Laurel Canyon Blvd Unit A, North Hollywood, California |
| Authorized Official Name and Position | David Lewis Edelman (CEO) |
| Authorized Official Contact | 8188580211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daled Md Group Inc 7537 Laurel Canyon Blvd Unit A North Hollywood CA 91605-3149 Ph: () - | Daled Md Group Inc 7537 Laurel Canyon Blvd Unit A North Hollywood CA 91605-3149 Ph: (818) 858-0211 |
| NPI Number | 1023894003 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 4981053329 |
|---|---|
| Medicare Enrollment ID | O20231212000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023894003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David L Edelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366482960 PECOS PAC ID: 7113974080 Enrollment ID: I20050401001003 |
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