Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD J BATES
Active Sole ProprietorNon-Pharmacy Dispensing Site · LOS ANGELES, CA
Registration Details
- NPI Number
- 1467045542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 18, 2021 (5.1726708999376 yrs)
- Last Updated
- Apr 15, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1138 S CRESCENT HEIGHTS BLVDLOS ANGELES, CA, 900352635Browse CA providers · Browse ZIP 90035
- Phone
- 3106584008
- Primary Specialty
-
Non-Pharmacy Dispensing Site
332900000X
Other Non-Pharmacy Dispensing Site Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MR. RANDY L PETERS | — | 1265441216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.