MEDICARE: ANN EDELMAN

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	95020896	CA

General Provider Information

NPI Number	:	1396683298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN EDELMAN

Provider Business Mailing Address
First Line	:	11800 CARMEL CREEK RD APT 356
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2774
Country	:	US
Telephone Number	:	805-451-7892
Fax Number	:

Provider Business Practice Location Address
First Line	:	11800 CARMEL CREEK RD APT 356
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2774
Country	:	US
Telephone Number	:	805-451-7892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ ANN EDELMAN ” Practice Location

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