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EDDIE J SCALES M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1215152137
Individual Registrant: EDDIE J SCALES M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
17817 SANTIAGO BLVD VILLA PARK, CA 92861-4133 US
Tel: 714-267-6137 Fax: --
Tel: 714-267-6137 Fax: --
Contact information for business:
3579 E FOOTHILL BLVD STE 188 PASADENA, CA 91107-3119 US
Tel: 714-267-6137 Fax: --
Tel: 714-267-6137 Fax: --
Registration Information:
NPI: 1215152137
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | G58330 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICAL LICENSE | G58330 | CA | 01 |
