Edgar Nepomuceno Malbas in Eastvale - Sports
Edgar Nepomuceno Malbas - NPI 1487767653
Edgar Nepomuceno Malbas is a Sports in Eastvale, California. Edgar Nepomuceno Malbas practices all healthcare services and medical treatments related to Sports. The NPI Number for Edgar Nepomuceno Malbas is 1487767653. The last update date is 2014-08-22.
Edgar Nepomuceno Malbas's current location address is 8721 Bald Eagle Dr, Eastvale, California. You can contact this provider via phone number 9498362018. The mailing address for Edgar Nepomuceno Malbas is 8721 Bald Eagle Dr, Eastvale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Nepomuceno Malbas |
|---|---|
| Address | 8721 Bald Eagle Dr, Eastvale, California |
| Phone Number | 9498362018 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1487767653 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2014-08-22 |
Provider Mailing Address Detail
| Address | 8721 Bald Eagle Dr |
|---|---|
| City | Eastvale |
| State | California (CA) |
| Post Code | 928801097 |
| Phone Number | 9498362018 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT24015 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPT240150 | CA | BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Edgar Nepomuceno Malbas by the Centers for Medicare & Medicaid Services?
The Edgar Nepomuceno Malbas has been assigned the NPI (National Provider Identifier) 1487767653 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Edgar Nepomuceno Malbas located?
The Edgar Nepomuceno Malbas is located at 8721 Bald Eagle Dr, Eastvale, CA 928801097.
What is the area of specialization for Edgar Nepomuceno Malbas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edgar Nepomuceno Malbas is Sports, and the corresponding taxonomy code that categorizes this area of expertise is 2251S0007X.
On what date did the Edgar Nepomuceno Malbas receive its 1487767653 assignment from the Centers for Medicare & Medicaid Services?
The Edgar Nepomuceno Malbas was assigned its 1487767653 by the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date were the Edgar Nepomuceno Malbas's details last updated?
The information pertaining to the Edgar Nepomuceno Malbas, including its address, specialty, and other details, was most recently updated on 2014-08-22.