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AUDLEY LLOYD MARTIN OSBOURNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11620 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90025-1776
(310) 876-5649
Mailing address
402 W COLTON AVE, REDLANDS, CA 92374-3108

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L-224804
MA
208800000X
Urology Physician
Primary
ME113487
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0363920
CIGNA
FL
01
1096529
WELLCARE
FL
01
14426
DIMENSION
FL
01
14NN3
BCBS
FL
01
362745
AVMED
FL
01
9155643
AETNA
FL
01
C149950
MEDICALLICENSE
CA
01
P01604782
RR MEDICARE
FL
01
P1035875
FREEDOM
FL
01
P971629
OPTIMUM
FL
Enumeration date
06/19/2007
Last updated
02/19/2026
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