Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ED JERALD HENDRICKS, M.D.
Active Sole ProprietorED JERALD HENDRICKS, M.D. is a Interventional Cardiology healthcare provider located in ROSEVILLE, California. NPI 1700220092 is currently active in the NPPES registry. Verify at CMS.
Interventional Cardiology · ROSEVILLE, CA
Registration Details
- NPI Number
- 1700220092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2013 (13.290152304613 yrs)
- Last Updated
- Apr 17, 2013
- License
-
G22146 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2510 DOUGLAS BLVDSUITE 200ROSEVILLE, CA, 956613300Browse CA providers · Browse ZIP 95661
- Phone
- 9167731191
- Fax
- 9167730498
- Primary Specialty
-
Interventional Cardiology
207RB0002X
Other Interventional Cardiology Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| ANTHONY VU HUYNH | D.O. | 1508057522 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.