DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BIANCA R. EDISON, M.D.

Active Sole Proprietor

DR. BIANCA R. EDISON, M.D. is a Sports Medicine (Pediatrics) healthcare provider located in LOS ANGELES, California. NPI 1477705028 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Pediatrics) · LOS ANGELES, CA

Registration Details

NPI Number
1477705028
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2008 (17.868761718376 yrs)
Last Updated
Oct 17, 2016
License
A111538 (CA)
Sole Proprietor
Yes

Practice Information

Address
4650 SUNSET BLVD
MAILSTOP 69, CHILDREN'S ORTHOPAEDIC CENTER, CHLA,
LOS ANGELES, CA, 90027
Browse CA providers · Browse ZIP 90027
Phone
3233612693
Primary Specialty
Sports Medicine (Pediatrics)
2080S0010X

Other Sports Medicine (Pediatrics) Providers in LOS ANGELES, CA

Name Credential NPI
DR. JONATHAN ANGEL SANTANA D.O 1831439306
DR. JESSICA MOFIDI M.D. 1326581208
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.