Search › California › 171M00000X
Edgar Banuelos
NPI 1356252811 · on the registry since 2026 · sole proprietor
Practice
- Address
- 13340 Glamis St
Pacoima, CA 91331 - Phone
- (818) 321-2834
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-14
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