Provider Demographics
NPI:1295391449
Name:WAPPLER-GUZZETTA, EDINA AMALIA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:EDINA
Middle Name:AMALIA
Last Name:WAPPLER-GUZZETTA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:EDINA
Other - Middle Name:AMALIA
Other - Last Name:WAPPLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:11234 ANDERSON STREET
Mailing Address - Street 2:GME OFFICE WESTERLY, SUITE C
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LOMA LINDA UNIVERSITY HEALTH
Practice Address - Street 2:11234 ANDERSON STREET
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354
Practice Address - Country:US
Practice Address - Phone:909-558-4094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program