Individual
BRUCE EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12021 WILSHIRE BLVD # 745, LOS ANGELES, CA 90025-1206
(310) 445-5999
Mailing address
3027 CAMINITO GIJON, DEL MAR, CA 92014-3938
(858) 354-8752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G44888
CA
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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