Edgardo A De La Vega, DDS - Dentist in Canoga Park, CA

Edgardo A De La Vega, DDS is a Dentist - General Practice based in Canoga Park, California. Edgardo A De La Vega is licensed to practice in California (license number 22336) and his current practice location is 22114 Roscoe Blvd, Canoga Park, California. He can be reached at his office (for appointments etc.) via phone at (818) 348-8713.

NPI number for Edgardo A De La Vega is 1164544573 and his current mailing address is 22114 Roscoe Blvd, Canoga Park, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164544573.

Contact Information

Edgardo A De La Vega, DDS
22114 Roscoe Blvd,
Canoga Park, CA 91304-3838
(818) 348-8713
Not Available



Healthcare Provider's Profile

Full NameEdgardo A De La Vega
GenderMale
SpecialityDentist - General Practice
Location22114 Roscoe Blvd, Canoga Park, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164544573
  • Provider Enumeration Date: 04/05/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Edgardo A De La Vega such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164544573NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 22336 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edgardo A De La Vega is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edgardo A De La Vega, DDS
22114 Roscoe Blvd,
Canoga Park, CA 91304-3838

Ph: (818) 348-8713
Edgardo A De La Vega, DDS
22114 Roscoe Blvd,
Canoga Park, CA 91304-3838

Ph: (818) 348-8713

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› Verified 7 days ago


Dentist in Canoga Park, CA

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Raffi John Maronian, DDS
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Phone: 818-348-8400    Fax: 818-348-4040
Ramya Chelimela,
Dentist
Medicare: Medicare Enrolled
Practice Location: 21126 Ingomar Ct, Canoga Park, CA 91304
Phone: 510-676-4948    

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