Individual
MARK EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, SOUTH TOWER, ROOM 1670, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6461
(310) 423-0175
Mailing address
8700 BEVERLY BLVD., SOUTH TOWER, ROOM 1670, LOS ANGELES, CA 90048-1804
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
A101401
CA
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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