MEDICARE: MR. EDWIN PAUL PAI MD

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	207R00000X	Internal Medicine Physician	A70102	CA
2	207R00000X	Internal Medicine Physician	MD60927771	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A70102	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1447277082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWIN PAUL PAI MD

Provider Business Mailing Address
First Line	:	PO BOX 62106
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93160-2106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 NE 87TH AVE STE 220
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-4896
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:	360-604-1767

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	05/08/2020

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