| Marc A. Edelstein, M.d., Inc. | |
|
150 N Robertson Blvd Suite 204 Beverly Hills CA 90211-2142 | |
| (310) 659-1300 | |
| (310) 659-4300 |
| Full Name | Marc A. Edelstein, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 N Robertson Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Marc Andrew Edelstein (PRESIDENT) |
| Authorized Official Contact | 3106591300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc A. Edelstein, M.d., Inc. 150 N Robertson Blvd Suite 204 Beverly Hills CA 90211-2142 Ph: (310) 659-1300 | Marc A. Edelstein, M.d., Inc. 150 N Robertson Blvd Suite 204 Beverly Hills CA 90211-2142 Ph: (310) 659-1300 |
| NPI Number | 1851511281 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 07/09/2008 |
| Medicare PECOS PAC ID | 5991884355 |
|---|---|
| Medicare Enrollment ID | O20080509000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851511281 | NPI | - | NPPES |
| 1669488821 | Other | CA | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A61509 (California) | Primary |
| Provider Name | Marc A Edelstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669488821 PECOS PAC ID: 1557273844 Enrollment ID: I20031104000667 |
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