Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eidelson MD LLC

Organization General Practice Physician · NPI 1245011907

Eidelson MD LLC is a General Practice Physician in Elk Grove, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9765 Caneria Way
Elk Grove, CA 95757-6225
Phone: (805) 453-9178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1245011907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Eidelson — Owner · (805) 453-9178
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address9765 Caneria Way, Elk Grove, CA 95757-6225

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