Organization
G.K EDWARDS M.D APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KEITH EDWARDS (M.D.)
(310) 449-1188
Entity
Organization
Contact information
Practice address
1328 TWENTY SECOND STREET, SANTA MONICA, CA 90404
(310) 449-1188
Mailing address
2353 PROSSER AVE, LOS ANGELES, CA 90064-2323
(310) 449-1188
(310) 449-9136
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
G59625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G596250
—
CA
Enumeration date
06/13/2006
Last updated
08/22/2020
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