MEDICARE: EDWIN L WARD D C INC

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	111NN1001X	Nutrition Chiropractor	C1065236	CA

General Provider Information

NPI Number	:	1477693687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWIN L WARD D C INC

Provider Business Mailing Address
First Line	:	15718 GALE AVE
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-1518
Country	:	US
Telephone Number	:	626-968-6772
Fax Number	:	626-330-6766

Provider Business Practice Location Address
First Line	:	15718 GALE AVE
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-1518
Country	:	US
Telephone Number	:	626-968-6772
Fax Number	:	626-330-6766

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. LOURDES DELGADO
Credential	:
Telephone Number	:	626-333-8512

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	09/24/2025

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