MEDICARE: DR. EDGARDO GABRIEL BINOYA 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
1	208D00000X	General Practice Physician	A30593	CA

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

General Provider Information

NPI Number	:	1508849795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDGARDO GABRIEL BINOYA M.D.

Provider Business Mailing Address
First Line	:	19127 HOLMBURY AVE
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-7246
Country	:	US
Telephone Number	:	562-860-6193
Fax Number	:	562-866-4946

Provider Business Practice Location Address
First Line	:	10230 ARTESIA BLVD
Second Line	:	STE. 300
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6763
Country	:	US
Telephone Number	:	562-866-1500
Fax Number	:	562-866-4946

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	03/14/2016

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