Organization
EDWARD P. LAURANCE, MD INC
Active
Organization
EDWARD P. LAURANCE, MD INC
Active
Other names
Edward P. Laurance, MD Inc, EDWARD P LAURANCE MD INC WEST COAST PEDIATRIC GASTROENTEROLOGY MOHAMED ADAM SHABAN OWNER, West Coast Pediatric Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BIBB (OFFICE MANAGER)
(626) 390-2911
Entity
Organization
Contact information
Practice address
460 W SIERRA MADRE BLVD, SIERRA MADRE, CA 91024-2314
(626) 836-6900
(626) 836-6903
Mailing address
460 W SIERRA MADRE BLVD, SIERRA MADRE, CA 91024-2314
(626) 836-6900
(626) 836-6903
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225422033
NPPES
CA
01
—
1427477892
NPPES
CA
05
—
17980780799 01
—
CA
Enumeration date
03/19/2015
Last updated
07/22/2026
Update your record
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