Provider Demographics
NPI:1831228675
Name:ABCEDE, ERLINDA G (MD)
Entity type:Individual
Prefix:DR
First Name:ERLINDA
Middle Name:G
Last Name:ABCEDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12314 CHARLWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-8417
Mailing Address - Country:US
Mailing Address - Phone:323-562-3500
Mailing Address - Fax:323-562-1626
Practice Address - Street 1:7601 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:CA
Practice Address - Zip Code:90201-5019
Practice Address - Country:US
Practice Address - Phone:323-562-3500
Practice Address - Fax:323-562-1626
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44226174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty