Kekoa Christian Ede in Escondido - Internal Medicine

Kekoa Christian Ede - NPI 1134224843

Kekoa Christian Ede is a Internal Medicine in Escondido, California. Kekoa Christian Ede practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kekoa Christian Ede is 1134224843. The last update date is 2012-03-26.

Kekoa Christian Ede's current location address is 425 N Date St, Escondido, California. You can contact this provider via phone number 7605208100 and fax number 7607372039. The mailing address for Kekoa Christian Ede is 425 N Date St, Escondido, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kekoa Christian Ede
Address 425 N Date St, Escondido, California
Phone Number 7605208100
Fax Number 7607372039
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1134224843
Provider Enumeration Date 2006-09-14
Last Updated Date 2012-03-26

Provider Mailing Address Detail

Address 425 N Date St
City Escondido
State California (CA)
Post Code 920253413
Phone Number 7605208100
Fax Number 7607372039

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD-12408
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W14158 CA SITE MEDICARE NUMBER
ZZZ20041Z CA SITE MEDICARE NUMBER

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FAQs about Kekoa Christian Ede

What is the unique identifier code issued to Kekoa Christian Ede by the Centers for Medicare & Medicaid Services?

The Kekoa Christian Ede has been assigned the NPI (National Provider Identifier) 1134224843. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kekoa Christian Ede is located?

The Kekoa Christian Ede is situated at the following address: 425 N Date St, Escondido, CA, 920253413.

What is the Kekoa Christian Ede's specialty and taxonomy code?

The Kekoa Christian Ede's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Kekoa Christian Ede receive the assignment of its 1134224843 from the Centers for Medicare & Medicaid Services?

The Kekoa Christian Ede was issued its 1134224843 by the Centers for Medicare & Medicaid Services on 2006-09-14.

As of what date were the details related to Kekoa Christian Ede most recently updated or revised?

The information pertaining to Kekoa Christian Ede, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-26.

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