Edwin Kendrick (NPI# 1265730618, PAC ID# 8729217542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1265730618 |
| PAC ID by PECOS | 8729217542 |
| Professional Enrollment ID | I20140127000958 |
| Full Name | Edwin Kendrick |
| Address |
2120 Foothill Blvd Suite 103 La Verne CA 91750-2948 |
| Gender | M |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | VASCULAR SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050597 | FOOTHILL PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2120 Foothill Blvd, Suite 103, La Verne, CA 91750-2948 |
| Street Address |
2120 FOOTHILL BLVD SUITE 103 |
| City | LA VERNE |
| State | CA |
| Zip | 91750-2948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tan L Wong | Internal Medicine | 2100 Foothill Blvd, Suite A, La Verne, CA 91750-2905 | |
| April Incledon | Physical Therapy | Ign Physiotherapy Inc | 2123 Foothill Blvd, Suite D, La Verne, CA 91750-2954 |
| Laura Renee Nazaryan | Physical Therapy | Ign Physiotherapy Inc | 2123 Foothill Blvd, Suite D, La Verne, CA 91750-2954 |
| John Cumiskey | Chiropractic | 2175 Foothill Blvd A, La Verne, CA 91750-2958 | |
| Gary V Woodward | Chiropractic | 2175 Foothill Blvd, A, La Verne, CA 91750-2958 | |
| Tiffany P Endo | Family Medicine | Premier Family Medicine Associates, Inc | 2333 Foothill Blvd, La Verne, CA 91750-3027 |
| Michael D Deanda | Family Medicine | Premier Family Medicine Associates, Inc | 2333 Foothill Blvd, La Verne, CA 91750-3027 |
| Lineth Fiorella Florian | Family Medicine | Premier Family Medicine Associates, Inc | 2333 Foothill Blvd, La Verne, CA 91750-3027 |
| Brian C Boyer | Optometry | Dr. Kenneth Boyer, O.d., Inc | 2443 Foothill Blvd, La Verne, CA 91750-3028 |
| Kenneth James Boyer | Optometry | Dr. Kenneth Boyer, O.d., Inc | 2443 Foothill Blvd, La Verne, CA 91750-3028 |
| Find all physicians in zip 91750 | |||
| City | LA VERNE |
| Zip Code | 91750 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | LA VERNE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Edwin Kendrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.