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1144287434
EDMUND S EVANGELISTA
MISSION VIEJO, CA
NPI
1144287434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA A64745)
Enumeration Date
2006-04-28
Last Update Date
2023-03-07
Business Address
-- EDMUND S EVANGELISTA MD
26401 CROWN VALLEY PKWY SUITE 101
MISSION VIEJO, CA 92691-6302
Phone number: 949-348-4000
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Mailing Address
-- EDMUND S EVANGELISTA MD
26401 CROWN VALLEY PKWY SUITE 101
MISSION VIEJO, CA 92691-6302
Phone number: 949-348-4000
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