Organization
EDWARD P. LAURANCE, MD INC DBA WEST COAST PEDIATRIC GASTROENTEROLOGY
Active
Other names
Edward P. Laurance, MD Inc, 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
05
—
17980780799 01
—
CA
Enumeration date
03/19/2015
Last updated
05/08/2026
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