DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARWAN EDRIS MD A PROFESSIONAL CORPORATION

MEDICARE: MARWAN EDRIS MD A PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W16626OTHERCAMEDICARE ID NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2A42896OTHERCALICENSE

General Provider Information

NPI Number : 1205869427
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARWAN EDRIS MD A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 25283 CABOT RD STE 106
Second Line : SUITE 106
City : LAGUNA HILLS
State : CA
Zip : 92653-5509
Country : US
Telephone Number : 949-364-9080
Fax Number : 949-364-3856
Provider Business Practice Location Address
First Line : 25283 CABOT RD STE 106
Second Line : SUITE 106
City : LAGUNA HILLS
State : CA
Zip : 92653-5509
Country : US
Telephone Number : 949-364-9080
Fax Number : 949-364-3856
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : MR. MARWAN EDRIS
Credential : M.D.
Telephone Number : 949-364-9080
Provider Enumeration Date : 07/09/2006
Last Update Date : 05/01/2024

Similar Medicare Providers

1518028950 — MS. TERESA SMITH WILSHIN LMFT LICENSED MARRIA
Practice Location Address:
25283 CABOT RD , SUITE #107
LAGUNA HILLS, CA
92653-5509
Practice Phone: 949-458-8145
Practice Fax: 949-458-1586
1710033089 — MRS. JACQUELINE YVONNE PEARSON MFT
Practice Location Address:
25283 CABOT RD STE 107
LAGUNA HILLS, CA
92653-5509
Practice Phone: 949-458-8145
Practice Fax:
1306327325 — ALEXANDRA BOZICK
Practice Location Address:
25283 CABOT RD STE 107
LAGUNA HILLS, CA
92653-5509
Practice Phone: 949-243-6311
Practice Fax:
1235822347 — OCEANS FOR INDIVIDUAL, MARRIAGE AND FAMILY COUNSELING INC.
Practice Location Address:
25283 CABOT RD STE 107
LAGUNA HILLS, CA
92653-5509
Practice Phone: 949-243-6311
Practice Fax:
1699567222 — FARTASH FARKHONDEHKISH DDS MS
Practice Location Address:
25283 CABOT RD STE 110
LAGUNA HILLS, CA
92653-5509
Practice Phone: 949-770-0548
Practice Fax: 949-770-7262
1013918846 — DR. RICHARD PANVINI D.P.M.
Practice Location Address:
2 MCLANE DR
DIX HILLS, NY
11746-5509
Practice Phone: 631-595-1511
Practice Fax: 631-595-1511

Directions to “MARWAN EDRIS MD A PROFESSIONAL CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.