MEDICARE: EDWARD CARDEN 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	208VP0000X	Pain Medicine Physician

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	00A267740	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1881645026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARD CARDEN MD INC

Provider Business Mailing Address
First Line	:	13160 MINDANAO WAY
Second Line	:	SUITE 300
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6358
Country	:	US
Telephone Number	:	310-842-8668
Fax Number	:	310-842-8669

Provider Business Practice Location Address
First Line	:	13160 MINDANAO WAY
Second Line	:	SUITE 300
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6358
Country	:	US
Telephone Number	:	310-842-8668
Fax Number	:	310-842-8668

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EDWARD CARDEN
Credential	:	MD
Telephone Number	:	310-842-8668

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	02/21/2008

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Directions to “EDWARD CARDEN MD INC ” Practice Location

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