Chris Edmund Ediss in Yorba Linda - Physician Assistant
Chris Edmund Ediss - NPI 1639374671
Chris Edmund Ediss is a Physician Assistant in Yorba Linda, California. Chris Edmund Ediss practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chris Edmund Ediss is 1639374671. The last update date is 2007-07-08.
Chris Edmund Ediss's current location address is 17282 Minden Dr, Yorba Linda, California. You can contact this provider via phone number 7149936193. The mailing address for Chris Edmund Ediss is 17282 Minden Dr, Yorba Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chris Edmund Ediss |
|---|---|
| Address | 17282 Minden Dr, Yorba Linda, California |
| Phone Number | 7149936193 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1639374671 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17282 Minden Dr |
|---|---|
| City | Yorba Linda |
| State | California (CA) |
| Post Code | 928863219 |
| Phone Number | 7149936193 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 15274 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Chris Edmund Ediss by the Centers for Medicare & Medicaid Services?
The Chris Edmund Ediss has been assigned the NPI (National Provider Identifier) 1639374671. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Chris Edmund Ediss located?
The Chris Edmund Ediss is located at 17282 Minden Dr, Yorba Linda, CA 928863219.
What is the Chris Edmund Ediss's area of specialization and corresponding taxonomy classification?
The Chris Edmund Ediss's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1639374671 to Chris Edmund Ediss?
The Chris Edmund Ediss received its 1639374671 assignment from the Centers for Medicare & Medicaid Services on 2007-06-19.
As of what date was the information pertaining to Chris Edmund Ediss, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Chris Edmund Ediss, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC