IndividualActive
Ed Hendricks, M.D.
NPI 1700220092 · Obesity Medicine (Internal Medicine) Physician · Roseville, CA
Provider details
- NPI number
- 1700220092
- Entity type
- Individual
- Primary specialty
- Obesity Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G22146 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2510 Douglas Blvd
Suite 200
Roseville, CA 95661-3300
Phone: (916) 773-1191
Fax: (916) 773-0498
Approximate (ZIP-level) locationGet directions
Mailing address
2510 Douglas Blvd
Roseville, CA 95661-3300
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2013-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.