Search › California › 1710I1002X
Timothy Edgar, IDC
NPI 1184059578 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3883 Ingraham St
Apt #U309
San Diego, CA 92109 - Phone
- (559) 975-5651
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-04
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