Edgar Tillison

NPI 1427193374 · on the registry since 2007 · sole proprietor

Practice

Address: 1055 W Victoria St
Compton, CA 90220
Phone: (310) 868-5379
Fax: (310) 868-5397
Organisation at this address: Star View Cfs (Teammates)
Star View Community Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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