Eduardo Ajuria, MD
Individual provider Active NPI Family Medicine Physician · Baldwin Park, CA
NPI 1104997097 · NPPES record last updated Sep 23, 2008
Key facts
- NPI
- 1104997097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G40046 (CA)
- Practice address
- 1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806 - Phone
- (626) 851-1011
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G40046 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G40046 | CA | Yes |
Addresses
Primary practice location
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Mailing address
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 851-1011
Other providers in Baldwin Park, CA
- Agape Chiropractic BP, Inc.
- Soma Agarwal
- James A. Aguiar
- Asif J. Ahmad
- Roohe Ahmed
- Bassem Akhnoukh
- Peter Garcia Alarcio
- Basheer Alas
- Ana Cecilia Alfonso
- Baber H. Ali
All providers in Baldwin Park, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.