Organization
B. EDENEDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON UKIRI EDENEDO DPT (OWNER/PHYSICAL THERAPIST)
(424) 402-1605
Entity
Organization
Contact information
Practice address
3650 GREENFIELD AVE APT 4, LOS ANGELES, CA 90034-7051
(424) 402-1605
Mailing address
3650 GREENFIELD AVE APT 4, LOS ANGELES, CA 90034-7051
(310) 650-0468
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/29/2022
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