Provider Demographics
NPI:1063629285
Name:EDGARDO G BINOYA MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:EDGARDO G BINOYA MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:BINOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-566-1500
Mailing Address - Street 1:10230 ARTESIA BLVD.
Mailing Address - Street 2:STE. 118
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6769
Mailing Address - Country:US
Mailing Address - Phone:562-566-1500
Mailing Address - Fax:
Practice Address - Street 1:10230 ARTESIA BLVD.
Practice Address - Street 2:STE. 118
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6769
Practice Address - Country:US
Practice Address - Phone:562-866-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30593208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty