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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