Provider Demographics
NPI:1497041792
Name:BARAWID, EDWARD LUBRIN (DO)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:LUBRIN
Last Name:BARAWID
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2234 N BELLFLOWER BLVD UNIT 15691
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-7028
Mailing Address - Country:US
Mailing Address - Phone:562-888-3621
Mailing Address - Fax:
Practice Address - Street 1:5901 E. 7TH ST.
Practice Address - Street 2:DEPARTMENT OF PM&R
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822
Practice Address - Country:US
Practice Address - Phone:562-826-5554
Practice Address - Fax:562-862-5175
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2016-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA201A11785208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation