MEDICARE: EDGARDO M CAPITULO MD 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	208600000X	Surgery Physician	A43464	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	:	1780736553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDGARDO M CAPITULO MD INC

Provider Business Mailing Address
First Line	:	7657 WINNETKA AVE
Second Line	:	SUITE 267
City	:	CANOGA PARK
State	:	CA
Zip	:	91306-2677
Country	:	US
Telephone Number	:	818-882-7656
Fax Number	:	818-773-9517

Provider Business Practice Location Address
First Line	:	1411 W SUNSET BLVD
Second Line	:	SUITE 203
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3431
Country	:	US
Telephone Number	:	213-482-8313
Fax Number	:	213-481-7383

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDGARDO M CAPITULO
Credential	:	MD
Telephone Number	:	818-882-7656

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	10/20/2008

Similar Medicare Providers

1922043587 — CESAR A VELEZ MD
Practice Location Address:

1411 W SUNSET BLVD , SUITE 203
LOS ANGELES, CA
90026-3431

Practice Phone: 213-482-8313
Practice Fax: 213-481-7383

1164454385 — EDGARDO M CAPITULO MD
Practice Location Address:

1411 W SUNSET BLVD , SUITE 203
LOS ANGELES, CA
90026-3431

Practice Phone: 818-882-7656
Practice Fax: 818-773-9517

1730231523 — CESAR VELEZ MEDICAL GROUP INC
Practice Location Address:

1411 W SUNSET BLVD , SUITE 203
LOS ANGELES, CA
90026-3431

Practice Phone: 213-482-8313
Practice Fax: 213-481-8373

1114288388 — AILEEN UY-GURANGO LCSW
Practice Location Address:

4368 TOLAND WAY
LOS ANGELES, CA
90041-3431

Practice Phone: 323-552-3953
Practice Fax:

1215704838 — MISS DAISHAN MONAE EPPERSON
Practice Location Address:

3431 W 67TH ST
LOS ANGELES, CA
90043-4316

Practice Phone: 714-909-8507
Practice Fax:

1891540829 — MARINA SHUKMAN NP
Practice Location Address:

1145 GAYLEY AVE STE 301
LOS ANGELES, CA
90024-3431

Practice Phone: 310-267-8277
Practice Fax:

Directions to “EDGARDO M CAPITULO MD INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.