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Evan Edelist
NPI 1801535851 · on the registry since 2022 · sole proprietor
Practice
- Address
- 114 San Rafael Ave
San Rafael, CA 94901 - Phone
- (415) 300-5463
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-28
- Status
- Not present in the most recent federal file
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