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Daniel Edmondson, H.I.S LICENSE #325
NPI 1679996086 · on the registry since 2014
Practice
- Address
- 1425 W Foothill Blvd Ste 110
Upland, CA 91786 - Phone
- (909) 946-6856
- Organisation at this address
- South Coast Children'S Society, Inc
South Coast Children'S Society, Inc.
South Coast Children'S Society, Inc.
Elite Compassionate Services Of Ca, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 84
Additional practice sites
- 1135 E Route 66 Ste 111, Glendora, CA
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-19
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