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Individual

EDWARD JAY BOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3701 SKYPARK DR, STE 200, TORRANCE, CA 90505-4749
(310) 378-8900
(310) 791-0786
Mailing address
3701 SKYPARK DR, STE 200, TORRANCE, CA 90505-4749
(310) 378-8900
(310) 791-0786

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38189
CA
207RP1001X
Pulmonary Disease Physician
Primary
38189
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G115630
CA
Enumeration date
01/10/2006
Last updated
05/03/2026
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