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

Edwin Cornelle Cavannaugh IV, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306341227

Edwin Cornelle Cavannaugh IV, MD is a Student in an Organized Health Care Education/Training Program in Anaheim, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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

1900 E La Palma Ave
Anaheim, CA 92805-1647
Phone: (714) 888-5742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A174005 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306341227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2018
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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