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NPI Code Detail

MEDICARE: DR. WILLIAM JAY EDELSTEIN M.D.

MEDICARE: DR. WILLIAM JAY EDELSTEIN M.D.
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 PhysicianC39503CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2C39503OTHERCAMED LICENSE

General Provider Information

NPI Number : 1073527875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JAY EDELSTEIN M.D.
Provider Business Mailing Address
First Line : 300 N SAN ANTONIO RD
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93110-1316
Country : US
Telephone Number : 805-681-5461
Fax Number : 805-681-5200
Provider Business Practice Location Address
First Line : 931 WALNUT AVE
Second Line :
City : CARPINTERIA
State : CA
Zip : 93013-2028
Country : US
Telephone Number : 805-560-1050
Fax Number : 805-560-1051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 03/14/2013

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