Search › California › 1041S0200X
Edwin Broadnax
NPI 1518248640 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3801 University Avenue, Suite 400
Riverside, CA 92501 - Phone
- (951) 955-7108
- Organisation at this address
- Riverside County Mental Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-02
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