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

EDGEMONT MEDICAL CLINIC

Active Organization

EDGEMONT MEDICAL CLINIC is a Family Medicine organization located in LOS ANGELES, California. NPI 1588078166 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LOS ANGELES, CA

Registration Details

NPI Number
1588078166
Provider Type
Organization
NPI Issued
Jun 11, 2014 (12.152753057783 yrs)
Last Updated
Jun 19, 2014
Licenses
20A10630 (CA)
20A10630 (CA)

Practice Information

Address
4864 SANTA MONICA BLVD
LOS ANGELES, CA, 900292634
Browse CA providers · Browse ZIP 90029
Phone
8185047265
Fax
8185041623
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.