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

Mr. Elias Cedillo IV, IDC

Individual provider Independent Duty Corpsman · NPI 1225400104

Mr. Elias Cedillo IV, IDC is an Independent Duty Corpsman in Minneapolis, Minnesota. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

5905 34th Ave S
Minneapolis, MN 55450-2900
Phone: (612) 713-4849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1225400104
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedOctober 30, 2015
Last updated in NPPESOctober 30, 2015

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