Individual
DR. JOHN DAVID EDWARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 1265 W, SANTA MONICA, CA 90404-2102
(310) 828-8566
(310) 453-9531
Mailing address
2001 SANTA MONICA BLVD, SUITE 1265 W, SANTA MONICA, CA 90404-2102
(310) 828-8566
(310) 453-9531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A26085
CA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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