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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184374605

Edsel Embry, MD is a Student in an Organized Health Care Education/Training Program in Stockton, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1800 N California St
Stockton, CA 95204-6019
Phone: (209) 547-7177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184374605
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2022
Last updated in NPPESMarch 27, 2022
Certification dateMarch 27, 2022

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