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Individual

DR. BIANCA R. EDISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4650 SUNSET BLVD, MAILSTOP 69, CHILDREN'S ORTHOPAEDIC CENTER, CHLA,, LOS ANGELES, CA 90027
(323) 361-2693
Mailing address
4650 SUNSET BLVD, MAILSTOP 69, CHILDREN'S ORTHOPAEDIC CENTER, CHLA,, LOS ANGELES, CA 90027
(323) 361-2693

Taxonomy

Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
A111538
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/15/2008
Last updated
10/17/2016
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