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Contact Information

EDGAR ARDILA, MD
11705 SLATE AVE
SUITE 200
RIVERSIDE, CA92505-5196
 Phone: 951-351-1346
 Fax: 951-359-3748
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDGAR ARDILA · (Male)

NPI Number 1295729648
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2005
Last updated 12/15/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A54539
  • CA Medicaid 00A545391
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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