Organization
J DAVID EDWARDS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID EDWARDS M.D. (PRESIDENT)
(310) 828-8566
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 1265W, SANTA MONICA, CA 90404-2102
(310) 828-8566
(310) 453-9531
Mailing address
2001 SANTA MONICA BLVD, SUITE 1265W, SANTA MONICA, CA 90404-2102
(310) 828-8566
(310) 453-9531
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A26085
CA
Other
Enumeration date
08/09/2010
Last updated
11/17/2010
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