Organization
EDWARD J. O'CONNOR, MD, INC.
Active
Organization
EDWARD J. O'CONNOR, MD, INC.
Active
Other names
EDWARD J. O'CONNOR, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JOSEPH O'CONNOR M.D. (NEUROLOGIST)
(310) 829-5968
Entity
Organization
Contact information
Practice address
2811 WILSHIRE BLVD STE 790, SANTA MONICA, CA 90403-4805
(310) 829-5968
(310) 453-3685
Mailing address
2811 WILSHIRE BLVD STE 790, SANTA MONICA, CA 90403-4805
(310) 829-5968
(310) 453-3685
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A24400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A24400
MEDICARE
CA
01
—
DE4737
RAILROAD MEDICARE
CA
Enumeration date
12/14/2007
Last updated
04/08/2008
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