Search › California › 163W00000X
Edward Fajardo
NPI 1033381926 · on the registry since 2008
Practice
- Address
- 1648 Thompson Ave
Chula Vista, CA 91913 - Phone
- (619) 414-0069
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California